Tina Elaine McLean, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

833 Issued in AK

Practice address

33455 Sterling Highway
Sterling, AK 99672

Phone

(907) 262-7748

Fax

(907) 262-7749

NPI assigned

Jul 5, 2005

Last updated

Mar 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Rock Physical Therapy LLC

  • Physical Therapist
  • Paris, TX
  • NPI 1124783311
  Medicare reassignment NPD
• Active Abilities LLC

  dba Active Abilities Physical Therapy

  • Physical Therapist
  • Sterling, AK
  • NPI 1003044009
  Authorized official Same address or phone
• Anchorage Fracture and Orthopaedic Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Wasilla, AK
  • NPI 1831774298
  NPD (past)
• Chugach Physical Therapy Inc

  • Physical Therapist
  • Anchorage, AK
  • NPI 1932140308
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1619974649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "city": "STERLING",
            "state": "AK",
            "postal_code": "996721118",
            "telephone_number": "907-262-7748",
            "fax_number": "907-262-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33455 STERLING HIGHWAY",
            "city": "STERLING",
            "state": "AK",
            "postal_code": "99672",
            "telephone_number": "907-262-7748",
            "fax_number": "907-262-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "TINA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "PT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029837",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Job Ready, Inc D.B.a Ready Care
• Dawn Kelly
• Kenai Peninsula Human Services Center
• Sadie Catherine Lansing, DPT
• Kaye Marie Lawson, OTR/L, MED
• Matthew Michaelson
• Haley Michel
• Susan Ellen Nimmo, FNP
• Jamie D Panzero, RN, BSN
• Select Physical Therapy Holdings Inc (Select Physical Therapy)

• Physical Therapist in Sterling, AK
• Providers in Sterling, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.

Verify at the official NPI Registry.