Active NPI
McClain Physical Therapy, LLC
- Physical Therapist
- Fort Smith, AR
National Provider Identifier
1629920046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MCCLAIN PHYSICAL THERAPY, LLC
- Practice address
- 12300 Highway 71 S Ste C
Fort Smith, AR 72916-9474 - Phone
- (479) 395-1110
- Fax
- (479) 358-1517
- NPI assigned
- Feb 10, 2026
- 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
- Kim McClain
- Title
- President
- Phone
- (501) 529-0090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
12300 Highway 71 S Ste C
Fort Smith, AR 72916-9474
Mailing address
12300 Highway 71 S Ste C
Fort Smith, AR 72916-9474
Phone (479) 395-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260417000983 | AR | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2860968716 |
Receives reassigned benefits from 1 practitioner Practice locations: Fort Smith, AR |
National Provider Directory
National Provider DirectoryLocations
12300 Highway 71 S
Ste C
Fort Smith, AR 72916
Phone (479) 395-1110
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770681600000",
"number": "1629920046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12300 HIGHWAY 71 S STE C",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729169474",
"telephone_number": "479-395-1110",
"fax_number": "479-358-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 HIGHWAY 71 S STE C",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729169474",
"telephone_number": "479-395-1110",
"fax_number": "479-358-1517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCLAIN PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-10",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A",
"authorized_official_last_name": "MCCLAIN",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-529-0090"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.