Individual provider Active NPI

Bruce Andrew McClenaghan, PT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1972543270
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3095 Issued in SC
Practice address
PT Program, Dept of Exercise Science
University of South Carolina
Columbia, SC 29205
Phone
(803) 777-6583
NPI assigned
Jun 7, 2006
Last updated
Oct 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3095 SC Primary

Addresses

Primary practice location

PT Program, Dept of Exercise Science
University of South Carolina
Columbia, SC 29205

Mailing address

2809 Heyward St
Columbia, SC 29205-2525
Phone (803) 777-6583

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1972543270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 HEYWARD ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052525",
            "telephone_number": "803-777-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PT PROGRAM, DEPT OF EXERCISE SCIENCE",
            "address_2": "UNIVERSITY OF SOUTH CAROLINA",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29205",
            "telephone_number": "803-777-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENAGHAN",
        "first_name": "BRUCE",
        "middle_name": "ANDREW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.