Active NPI
Dawn C McClellan, MSPT
- Physical Therapist
- Altoona, PA
National Provider Identifier
1841253226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012999L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140964VGH | Other | PA | GROUP PTAN NUMBER |
| 0018563450006 | Medicaid | PA |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolution Alternative Physical Therapy & Wellness Studio LLC | Physical Therapist | Current | 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 | Past | 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.
-
- Physical Therapist
- Altoona, PA
- NPI 1093736225
-
- Physical Therapist
- York, PA
- NPI 1053348409
-
- Physical Therapist
- Bedford, PA
- NPI 1659333474
-
- Physical Therapy Clinic/Center
- Altoona, PA
- NPI 1205821238
-
- Physical Therapist
- Altoona, PA
- NPI 1811238744
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.