Active NPI
McClellan Therapy PC
- Physical Therapy Clinic/Center
- Farmington, NM
National Provider Identifier
1609756436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MCCLELLAN THERAPY PC
- Practice address
- 904 E 20TH St Ste a
Farmington, NM 87401-4281 - Phone
- (505) 459-3788
- NPI assigned
- Sep 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dan McClellan, PT, DPT
- Title
- Owner
- Phone
- (505) 459-3788
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
904 E 20TH St Ste a
Farmington, NM 87401-4281
Mailing address
5608 Fairway Dr
Farmington, NM 87402-5027
Phone (505) 459-3788
Other practice location 1
5608 Fairway Dr
Farmington, NM 87402-5027
Phone (505) 459-3788
Other names 1
- Integrative Pelvic Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
904 E 20th St
Ste A
Farmington, NM 87401
Phone (505) 325-2010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Farmington, NM
- NPI 1881064475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1609756436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5608 FAIRWAY DR",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874025027",
"telephone_number": "505-459-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 E 20TH ST STE A",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874014281",
"telephone_number": "505-459-3788"
}
],
"practiceLocations": [
{
"address_1": "5608 Fairway Dr",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874025027",
"country_code": "US",
"telephone_number": "505-459-3788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MCCLELLAN THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-03",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "MCCLELLAN",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-459-3788",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrative Pelvic Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.