Northern Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

037207-1 Issued in NY

Legal business name

NORTHERN PHYSICAL THERAPY, PLLC

Practice address

203 State St
Ogdensburg, NY 13669-1424

Phone

(315) 393-2024

Fax

(315) 393-2025

NPI assigned

Dec 16, 2013

Last updated

Dec 16, 2013By 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

Jeanine McLellanNPI 1942301635

Title

President

Phone

(315) 393-2024

Specialties & licenses 1

Addresses

Tax ID family

Northern Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Physical Therapy, LLC

  • Physical Therapist
  • Ogdensburg, NY
  • NPI 1174624969
  NPD tax ID

Locations

Practitioners 1

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.

• Jeanine Ruth McLellan, PT

  • Physical Therapist
  • Ogdensburg, NY
  • NPI 1942301635
  NPD Authorized official

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1609297746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 STATE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691424",
            "telephone_number": "315-393-2024",
            "fax_number": "315-393-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 STATE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691424",
            "telephone_number": "315-393-2024",
            "fax_number": "315-393-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "MCLELLAN",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-393-2024"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "037207-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Country Family Health NP PLLC
• North Country Ophthalmology Associates PC (The Optical Outlet)
• Northern Lights Health Care Partnership Inc (Northern Lights Home Health Care)
• Northern Orthopedic Laboratory, Inc.
• Northern Physical Therapy, LLC
• Danielle Noyes, LMSW
• Doris Anne Nugent
• Monica M Nuyens, MD
• Nys Office of Mental Health
• Nys Office of Mental Health

• Physical Therapy Clinic/Center in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.