Northern Physical Therapy, LLC
NPI 1174624969 · Physical Therapist · Ogdensburg, NY
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northern Physical Therapy, LLC is a Physical Therapist organization in Ogdensburg, NY (NPI 1174624969).
Provider details
- NPI number
- 1174624969
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jeanine Mclellan, Owner(315) 393-2024
- License
- 011013 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2015-06-23
Frequently asked questions
- What is Northern Physical Therapy, LLC's NPI number?
- Northern Physical Therapy, LLC's National Provider Identifier (NPI) is 1174624969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Physical Therapy, LLC?
- Northern Physical Therapy, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Northern Physical Therapy, LLC located?
- Northern Physical Therapy, LLC's practice location on file with NPPES is 203 State St, Ogdensburg, NY 13669-1403.
- What is Northern Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Northern Physical Therapy, LLC is (315) 393-2024.
- Does Northern Physical Therapy, LLC accept Medicare?
- Northern Physical Therapy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northern Physical Therapy, LLC?
- The authorized official listed on Northern Physical Therapy, LLC's NPPES record is Jeanine Mclellan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Physical Therapy, LLC's NPI active?
- Yes — Northern Physical Therapy, LLC's NPI (1174624969) is active in the NPPES registry as of the last update on 2015-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.