Active NPI
Denise McClurg, CPTA
- Physical Therapy Assistant
- Superior, NE
National Provider Identifier
1548092372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 763
- Practice address
- PO Box 263
Superior, NE 68978-0263 - Phone
- (402) 879-1267
- NPI assigned
- Aug 19, 2024
- Last updated
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-02491 | KS | |
| Physical Therapy Assistant | 225200000X | 763 | NE | Primary |
Addresses
Primary practice location
PO Box 263
Superior, NE 68978-0263
Mailing address
PO Box 263
Superior, NE 68978-0263
Phone (402) 879-1267
Other practice location 1
314 Main St
Courtland, KS 66939-3024
Phone (785) 955-0670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-02491 | KS | MD | Physical Therapy Assistant |
| 763 | NE | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivotal Health & Wellness Inc | Past | Accepting new patients | |
| Superior Physical Therapy LLC | Past | Accepting new patients | |
| Great Plains of Republic Co., Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Superior, NE
- NPI 1275905689
-
dba Belleville Medical Clinic
- Primary Care Clinic/Center
- Belleville, KS
- NPI 1366223810
-
- Home Health Agency
- Courtland, KS
- NPI 1003536871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1548092372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 263",
"city": "SUPERIOR",
"state": "NE",
"postal_code": "689780263",
"telephone_number": "402-879-1267",
"fax_number": "866-764-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 263",
"city": "SUPERIOR",
"state": "NE",
"postal_code": "689780263",
"telephone_number": "402-879-1267"
}
],
"practiceLocations": [
{
"address_1": "314 Main St",
"address_purpose": "LOCATION",
"city": "Courtland",
"state": "KS",
"postal_code": "669393024",
"country_code": "US",
"telephone_number": "785-955-0670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLURG",
"first_name": "DENISE",
"credential": "CPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-02491",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NE",
"license": "763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Superior, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.