Active NPI
Jonathan Robert McClung, DPT
- Physical Therapist
- Seward, NE
National Provider Identifier
1902921141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2377
- Practice address
- 300 N Columbia Ave
Seward, NE 68434-2228 - Phone
- (402) 646-4611
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2377 | NE | Primary |
| Physical Therapist | 225100000X | 3911 | IA |
Addresses
Primary practice location
300 N Columbia Ave
Seward, NE 68434-2228
Mailing address
1720 SW 17TH St
Lincoln, NE 68522-1585
Phone (402) 613-7992
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3911 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902921141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 SW 17TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685221585",
"telephone_number": "402-613-7992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N COLUMBIA AVE",
"city": "SEWARD",
"state": "NE",
"postal_code": "684342228",
"telephone_number": "402-646-4611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLUNG",
"first_name": "JONATHAN",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2377",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "3911",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seward, NE
- Amber Renee Legband
- Lighted Path Recovery Services
- Kenna Elaine Majerus, PTA
- Maria Beatrice Mazurek
- Jillenne S McAdam, PA-C
- Nikki McGill
- Janice Meehl, PT
- Sarah Marie Melendez Chipman, DPT
- Memorial Health Care Systems (Memorial Hospital)
- Memorial Health Care Systems (Seward Family Medical Center, BCBS PCMH)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.