Active NPI
Jason Anthony McClary, M.P.T
- Physical Therapist
- Moberly, MO
National Provider Identifier
1578684510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2004028080
- Practice address
- 1346 S Morley St
Moberly, MO 65270-1943 - Phone
- (660) 263-5488
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2004028080 | MO | Primary |
Addresses
Primary practice location
1346 S Morley St
Moberly, MO 65270-1943
Mailing address
1904 Potomac Dr
Columbia, MO 65203-5843
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Work Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Saint Charles, MO
- NPI 1326027970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578684510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 POTOMAC DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652035843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1346 S MORLEY ST",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652701943",
"telephone_number": "660-263-5488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLARY",
"first_name": "JASON",
"middle_name": "ANTHONY",
"credential": "M.P.T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2004028080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moberly, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.