Individual provider Active NPI

Abbey Jones McClanahan, DPT

  • Physical Therapist
  • Leland, NC
National Provider Identifier
1992137996
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P17901 Issued in NC
Practice address
1003 Olde Waterford Way # B
Leland, NC 28451
Phone
(910) 679-3212
Fax
(877) 718-8984
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305208121 VA
Physical Therapist 225100000X P17901 NC Primary

Addresses

Primary practice location

1003 Olde Waterford Way # B
Leland, NC 28451

Mailing address

1003 Olde Waterford Way # B
Leland, NC 28451-4167
Phone (910) 679-3212

Other practice location 1

115 Ambriar Plz
Amherst, VA 24521-4741
Phone (434) 381-6090

Other practice location 2

69 Barricks Ln
Ste E
Rustburg, VA 24588-4681
Phone (434) 845-9053

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abbey.mcclanahan.p1@direct.capefeararthritis.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130917000058 VA Practitioner - Physical Therapist in Private Practice 5698919546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20311 B Timberlake Rd
Lynchburg, VA 24502-7203
Phone (434) 237-6812

Merit-based Incentive Payment System (MIPS)

Final score
91.57 of 100Reported as group
Quality
98.54
Improvement activities
40
Cost
74.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P17901NCMDPhysical Therapist
2305208121VAMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: abbey.mcclanahan.p1@direct.capefeararthritis.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1992137996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 OLDE WATERFORD WAY # B",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514167",
            "telephone_number": "910-679-3212",
            "fax_number": "877-718-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 OLDE WATERFORD WAY # B",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "910-679-3212",
            "fax_number": "877-718-8984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Ambriar Plz",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "VA",
            "postal_code": "245214741",
            "country_code": "US",
            "telephone_number": "434-381-6090",
            "fax_number": "434-509-1695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "69 Barricks Ln",
            "address_2": "Ste E",
            "address_purpose": "LOCATION",
            "city": "Rustburg",
            "state": "VA",
            "postal_code": "245884681",
            "country_code": "US",
            "telephone_number": "434-845-9053",
            "fax_number": "434-528-2788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "ABBEY",
        "middle_name": "JONES",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2023-05-19",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208121",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abbey.mcclanahan.p1@direct.capefeararthritis.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1003 Olde Waterford Way # B",
            "city": "Leland",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.