Active NPI
Karen Eileen McClellan, PT
- Physical Therapist
- Concord, NH
National Provider Identifier
1609805803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1052
- Practice address
- 25 Hall St
Suite 201 Professional Physical Therapy Services LLC
Concord, NH 03301-3471 - Phone
- (603) 226-3500
- Fax
- (603) 226-3420
- NPI assigned
- Jul 1, 2006
- Sex
- Female
- 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 | 1052 | NH | Primary |
Addresses
Primary practice location
25 Hall St
Suite 201 Professional Physical Therapy Services LLC
Concord, NH 03301-3471
Mailing address
25 Hall St
Suite 201 Professional Physical Therapy Services LLC
Concord, NH 03301-3471
Phone (603) 226-3500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30391188 | Medicaid | NH | |
| 08Y002723NH01 | Other | NH | BLUE CROSS |
| NA1218 | Other | NH | HARVARD PILGRIM |
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 |
|---|---|---|---|
| Professional Physical Therapy Services of Central NH LLC | 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
- Pittsfield, NH
- NPI 1598824229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609805803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HALL ST",
"address_2": "SUITE 201 PROFESSIONAL PHYSICAL THERAPY SERVICES LLC",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013471",
"telephone_number": "603-226-3500",
"fax_number": "603-226-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HALL ST",
"address_2": "SUITE 201 PROFESSIONAL PHYSICAL THERAPY SERVICES LLC",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013471",
"telephone_number": "603-226-3500",
"fax_number": "603-226-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAN",
"first_name": "KAREN",
"middle_name": "EILEEN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "1052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30391188",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "08Y002723NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "NA1218",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
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.