Individual provider Active NPI

Michelle McClenny, PTA

  • Physical Therapy Assistant
  • McAllen, TX
National Provider Identifier
1972991073
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2072280 Issued in TX
Practice address
3201 N Ware Rd
McAllen, TX 78501-3305
Phone
(956) 631-5542
Fax
(956) 994-9128
NPI assigned
Dec 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2072280 TX Primary

Addresses

Primary practice location

3201 N Ware Rd
McAllen, TX 78501-3305

Mailing address

3201 N Ware Rd
McAllen, TX 78501-3305
Phone (956) 631-5542

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

LicenseStateTypeSpecialty
2072280TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1972991073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 N WARE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013305",
            "telephone_number": "956-631-5542",
            "fax_number": "956-994-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 N WARE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013305",
            "telephone_number": "956-631-5542",
            "fax_number": "956-994-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENNY",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2072280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.