McConnell Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MCCONNELL PHYSICAL THERAPY LLC

Practice address

6810 E Beaverton Rd
Clare, MI 48617-9699

Phone

(989) 621-7375

NPI assigned

Aug 31, 2020

Last updated

Aug 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina McConnell, DPTNPI 1831466457

Title

Owner/Therapist

Phone

(989) 621-7375

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristina Marie McConnell, DPT

  • Physical Therapist
  • Clare, MI
  • NPI 1831466457
  Authorized official Same address or phone
• Kaylee Smith, PTA

  • Physical Therapy Assistant
  • Midland, MI
  • NPI 1285120774
  NPD (past)

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1558974352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 E BEAVERTON RD",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486179699",
            "telephone_number": "989-621-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 E BEAVERTON RD",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486179699",
            "telephone_number": "989-621-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCONNELL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "989-621-7375",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Maldonado-Vazquez, MD
• Adnan Anwar Malik, M.D.
• Cedric B Masa, M.D.
• Tana Lyn Mashue Spicer
• Kelly Marie Mathison
• Jordan McConnell, DPT
• Kristina Marie McConnell, DPT
• Amanda Gayle McCullough, PT
• McEwan Emergency Physicians
• Jacob McFadden, DPT

• Physical Therapist in Clare, MI
• Providers in Clare, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.