Kelly J McClain, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004416 Issued in GA

Practice address

205 Redmond Rd NW
Rome, GA 30165-1537

Phone

(706) 232-4383

NPI assigned

Mar 13, 2012

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Georgia Pelvic Health & Wellness

  • Physical Therapist
  • Rome, GA
  • NPI 1528656642
  Medicare reassignment NPD Authorized official
• Walker Orthotics and Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Rome, GA
  • NPI 1700831237

  Physical Therapist

  NPD
• Advance Rehabilitation and Consulting

  • Physical Therapist
  • Rome, GA
  • NPI 1174518682
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1598030215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651537",
            "telephone_number": "706-723-2043",
            "fax_number": "706-236-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651537",
            "telephone_number": "706-232-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie McArthur
• Charles Edward McBride III, M.D.
• Deborah Lynn McBride, FNP
• James Lebron McBride, LMFT
• Enid McCarthy
• Matthew B McClain, M.D.
• Sarah Elizabeth McCollum, OTR/L
• John Miller McCord, MD
• Gerald Lane McCormick, DO
• Jessica Clayton McCoun, M.D.

• Physical Therapist in Rome, GA
• Providers in Rome, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.