Individual provider Active NPI

Jessica Wallace McClain, DPT

  • Physical Therapist
  • Bluffton, SC
National Provider Identifier
1669751418
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6519 Issued in SC
Practice address
224 Old River Rd
Bluffton, SC 29909-3952
Phone
(404) 434-3773
NPI assigned
Aug 11, 2011
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 6519 SC Primary

Addresses

Primary practice location

224 Old River Rd
Bluffton, SC 29909-3952

Mailing address

224 Old River Rd
Bluffton, SC 29909-3952
Phone (404) 434-3773

Other names 1

  • Ms. Jessica Leigh Wallace Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000655 SC Practitioner - Physical Therapist in Private Practice 1052582202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corbett Physical Therapy LLCGroup PAC ID 1951587948, 10 clinicians

Practice addresses (Care Compare)

4 Hampton Hall Blvd
Bluffton, SC 29910-7812
Phone (843) 837-1930

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
80.01
Improvement activities
40
Cost
73.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6519SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Corbett Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Elite Physical Therapy & Sports Performance Physical Therapist PastSince Aug 1, 2008 Accepting new patients
Elite Physical Therapy & Sports Performance Bluffton Physical Therapist PastSince Mar 7, 2021 Accepting new patients

Locations

4 Hampton Hall Blvd
Bluffton, SC 29910
Phone (843) 837-1930

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1669751418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 OLD RIVER RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299093952",
            "telephone_number": "404-434-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 OLD RIVER RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299093952",
            "telephone_number": "404-434-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "JESSICA",
        "middle_name": "WALLACE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WALLACE",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.