Keegan McCloud

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2016005668 Issued in MO

Practice address

1507 NE 77TH St
Kansas City, MO 64118-1924

Phone

(913) 710-3949

NPI assigned

Mar 23, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1942662440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 NE 77TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641181924",
            "telephone_number": "913-710-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 NE 77TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641181924",
            "telephone_number": "913-710-3949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 S Jentilly Ln Unit C",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852815758",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "KEEGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-03000",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2016005668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valyn Faith McClellan
• Gus McClelland, MSW
• Kristie L McClendon
• NA'Keish McClendon
• Charlotte Marie McCloskey, PH.D.
• Keri E McCloud, LPC
• Madylene Kathleen McClure, MSN, FNP-C
• Nickolas Dale McCollum, PTA
• William Ballew McCollum, M.D.
• Sue McComb, L.AC., DIPL.AC., LMT

• Physical Therapy Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.