Michael L McClaughry, P T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

102576 Issued in MO

Practice address

5497A Highway 54
Osage Beach, MO 65065-3026

Phone

(573) 302-1288

Fax

(573) 302-1384

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Care Physical Therapy and Spine Center, LLCGroup PAC ID 6305736315, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Active Care Physical Therapy & Spine Center, LLC

  • Physical Therapy Clinic/Center
  • Osage Beach, MO
  • NPI 1952362352

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912031493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CROCKER CT",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "65049",
            "telephone_number": "573-365-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5497A HIGHWAY 54",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653026",
            "telephone_number": "573-302-1288",
            "fax_number": "573-302-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAUGHRY",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "P T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "102576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Alan Malone, M.D.
• Tasiana Malya, PMHNP-BC
• Lisa Markel, RDH
• Anita Laraine Marlay, RD, LD
• Kalie Rose Massman, PTA
• William T McFail, PLPC
• Robyn Vee McHugh, CNM, CPM
• Kaetlyn McKee Roberts, LPC
• Glenn W McLendon, CRNA
• Kayla McNabb

• Physical Therapist in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Physical Therapist in Missouri

• 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.
• 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.