Jeanine Ruth McLellan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011013 Issued in NY

Practice address

203 State St
Ogdensburg, NY 13669-1403

Phone

(315) 393-2024

Fax

(315) 393-2025

NPI assigned

Sep 26, 2006

Sex

Female

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Physical Therapy LLCGroup PAC ID 5092793398, 2 clinicians

Emily Teneyck PT DPT PLLCGroup PAC ID 2466892153, 4 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.

• Northern Physical Therapy, LLC

  • Physical Therapist
  • Ogdensburg, NY
  • NPI 1174624969
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Teneyck PT DPT PLLC

  • Physical Therapist
  • Ogdensburg, NY
  • NPI 1609640796
  Medicare reassignment Care Compare group NPD
• Northern Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Ogdensburg, NY
  • NPI 1609297746
  NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1942301635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 STATE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691403",
            "telephone_number": "315-393-2024",
            "fax_number": "315-393-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 STATE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691403",
            "telephone_number": "315-393-2024",
            "fax_number": "315-393-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLELLAN",
        "first_name": "JEANINE",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas McKeel, RPH
• Willie McKnight
• Lindsey Grace McLear, NP
• Melville Leon McLear, DISPENSER
• Taylor McLear
• Rachel Meade, PA-C
• Gary L Mealus, LCSW
• Johnny Mendoza, MD
• Eric Merson, SOCIAL WORKER
• Terry Micelli, PHYSICAL THERAPIST

• Physical Therapist in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.