Nicole Marie McClain, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018944 Issued in OH

Practice address

108 Barrington Town Square Dr
Aurora, OH 44202-7792

Phone

(330) 562-1655

Fax

(330) 562-1653

NPI assigned

Nov 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole M Jankowski Former name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drayer Physical Therapy Northern Ohio LLCGroup PAC ID 7315179561, 50 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Drayer Physical Therapy Northern Ohio LLC

  • Physical Therapist
  • Dayton, OH
  • NPI 1871919969
  Medicare reassignment Care Compare group NPD
• Ih3 Physcial Therapy

  • Physical Therapy Clinic/Center
  • Lake City, SC
  • NPI 1104145697

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1699289447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SAULS ST STE B",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602677",
            "telephone_number": "843-374-0185",
            "fax_number": "843-374-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BARRINGTON TOWN SQUARE DR",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442027792",
            "telephone_number": "330-562-1655",
            "fax_number": "330-562-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8882",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "JANKOWSKI",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Marino, RN
• Leah Martin, CFNP
• Rachel Hodczak Martin, RPH
• Irene Martino, O.D.
• Lauren Mayes, DC
• Shaun Alexander McCrae, D.C.
• Lauren McInturf
• Jaclyn C Meathe, DPT
• Meckler Dental Providers, Inc.
• Meijer Stores Limited Partnership

• Physical Therapist in Aurora, OH
• Providers in Aurora, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.