Kristin McClelland, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1326 Church St
Zachary, LA 70791-2743

Phone

(225) 654-8208

Fax

(225) 654-4642

NPI assigned

Nov 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Synergy Care Southeast LLC

  dba Synergy Care Southeast LLC - Louisiana

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1891156055
  Medicare reassignment Care Compare group NPD
• Rehab One, LLC

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1942435078
  Medicare reassignment NPD
• Synergy Care Southeast, LLC

  dba Synergy Care Southeast LLC - Texas

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1427466614
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1548773187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912743",
            "telephone_number": "225-654-8208",
            "fax_number": "225-654-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912743",
            "telephone_number": "225-654-8208",
            "fax_number": "225-654-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "KRISTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "09837",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Matthews
• Kaye Maxwell Warren, LMSW
• Mayo Logistics Corporation
• Haylee Mayo, MOT
• Stephen James Mayronne Jr., PT, DPT
• Jesse McCray
• Tyejha M McElwee
• Kristen McGee, PHYSICAL THERAPIST
• Leah McMorris, PA
• MD Express Urgent Care

• Physical Therapist in Zachary, LA
• Providers in Zachary, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.