Individual provider Active NPI

Dawn C McClellan, MSPT

  • Physical Therapist
  • Altoona, PA
National Provider Identifier
1841253226
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012999L Issued in PA
Practice address
1105 18TH St
Altoona, PA 16601-2421
Phone
(814) 944-6535
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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 PT012999L PA Primary

Addresses

Primary practice location

1105 18TH St
Altoona, PA 16601-2421

Mailing address

1105 18TH St
Altoona, PA 16601-2421
Phone (814) 944-6535

Other identifiers 2

IdentifierTypeStateIssuer
140964VGHOtherPAGROUP PTAN NUMBER
0018563450006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Alternative Physical Therapy & Wellness Studio LLC Physical Therapist CurrentSince Jan 3, 2001 Accepting new patients
Partners in Rehab, Inc. Physical Therapist Past Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Past Accepting new patients
Procare PT LP Physical Therapist PastSince Oct 2, 2019 Accepting new patients
Pro Care Health Systems Inc Past Accepting new patients

Locations

2510 7th Ave
Altoona, PA 16602
Phone (814) 944-6535

1105 18th St
Altoona, PA 16601
Phone (814) 944-6535

Organizations & group practices 5

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1841253226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 18TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166012421",
            "telephone_number": "814-944-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 18TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166012421",
            "telephone_number": "814-944-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "DAWN",
        "middle_name": "C",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012999L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN NUMBER",
            "identifier": "140964VGH",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018563450006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.