Individual provider Active NPI

Christy Anne McClain, PHYSCIAL THERAPIST

  • Physical Therapist
  • Independence, MO
National Provider Identifier
1629416425
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2001006560 Issued in MO
Practice address
19000 E Eastland Center CT
200
Independence, MO 64055-7022
Phone
(816) 478-3326
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2001006560 MO Primary

Addresses

Primary practice location

19000 E Eastland Center CT
200
Independence, MO 64055-7022

Mailing address

293 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5450
Phone (816) 808-7910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161025000040 MO Practitioner - Physical Therapist in Private Practice 8022396118 Reassigns benefits to 1 organization
I20220526001935 AR Practitioner - Physical Therapist in Private Practice 8022396118
I20240201004187 CA Practitioner - Physical Therapist in Private Practice 8022396118 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livara Health Medical Group PCGroup PAC ID 8022238872, 23 clinicians
New Life Physical Therapy Services PCGroup PAC ID 7214207125, 94 clinicians

Practice addresses (Care Compare)

11838 Bernardo Plaza CT
Suite 101
San Diego, CA 92128-2414
Phone (844) 316-7979

12515 Springhurst Dr
San Diego, CA 92128-6305
Phone (858) 771-3694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35172CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Livara Health Medical Group PC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
New Life Physical Therapy Services, PC Physical Therapist CurrentSince May 17, 2025 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Dec 26, 2023 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Dec 26, 2023 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist Past Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

12865 Pointe del Mar Way
Ste 190
Del Mar, CA 92014
Phone (619) 432-4634

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

15725 Pomerado Rd
Ste 115
Poway, CA 92064
Phone (800) 976-7544

12648 Poway Rd
Poway, CA 92064
Phone (760) 484-8907

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

7525 Metropolitan Dr
Ste 306
San Diego, CA 92108
Phone (619) 275-7460

12515 Springhurst Dr
San Diego, CA 92128
Phone (858) 771-3694

11838 Bernardo Plaza Ct
Ste 101
San Diego, CA 92128
Phone (844) 344-7979

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1629416425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 NE ADAMS DAIRY PKWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640145450",
            "telephone_number": "816-808-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 E EASTLAND CENTER CT",
            "address_2": "200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557022",
            "telephone_number": "816-478-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "CHRISTY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PHYSCIAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2001006560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.