Joshua McLain, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

10361 Issued in MN

Practice address

2280 Terminal Rd
Roseville, MN 55113-2516

Phone

(612) 400-7872

NPI assigned

Aug 2, 2021

Sex

Male

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1740954924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 TERMINAL RD",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132516",
            "telephone_number": "612-400-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 TERMINAL RD",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132516",
            "telephone_number": "612-400-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "10361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "10361",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.bodyrejuv.com",
            "affiliation": "N",
            "endpointDescription": "Brick and mortar clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2280 Terminal Rd",
            "city": "Roseville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551132516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy Edward McGuire, LICSW, BCD
• Erin McKay Wardzala, PHD, LP
• Amy L McKeen, PT
• Carrie McKenzie
• Kevin James McKittrick, PSYD
• Jenna McRae, FNP-C
• Matthew Charles McVay, MD
• Timothy Meehan, MD
• Marshall Warren Meeks, MD
• Tiffany J Mellang

• Physical Therapy Clinic/Center in Roseville, MN
• Providers in Roseville, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.