Krystal Marie McClenahan, MPT
NPI 1962730234ActiveIndividual· Physical Therapist· Greenville, IL
Physical Therapist (MPT) in Greenville, Illinois, licensed in IL, with an NPI issued in November 2009. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1962730234 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPT |
| Sole proprietor | No |
| NPI issued | Nov 25, 2009 |
| Last updated in NPPES | Jul 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070017512 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IL) |
|---|
Other Physical Therapist providers in Greenville
- 1356290266
- 1891121174
- 1942022561
- 1841836533
- 1669929790
- 1922485127