Individual provider Active NPI

Denise McClurg, CPTA

  • Physical Therapy Assistant
  • Superior, NE
National Provider Identifier
1548092372
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
763 Issued in NE
Practice address
PO Box 263
Superior, NE 68978-0263
Phone
(402) 879-1267
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14-02491KSMDPhysical Therapy Assistant
763NEMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pivotal Health & Wellness Inc PastSince Sep 4, 2022 Accepting new patients
Superior Physical Therapy LLC PastSince Aug 25, 2024 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.

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.

Verify at the official NPI Registry.