NORTHERN PHYSICAL THERAPY, LLC
NPI 1174624969
Physical Therapist in Ogdensburg, NY

Active since September 26, 2006
203 STATE ST, OGDENSBURG, NY 13669(315) 393-2024(315) 393-2025 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Northern Physical Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN PHYSICAL THERAPY, LLC (NPI 1174624969) is a healthcare organization registered as a physical therapist in Ogdensburg, New York and active in the NPI registry since September 2006. The organization lists Jeanine Ruth Mclellan, Owner, as its authorized official.

NPPES Registry Identity

NPI1174624969
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameNORTHERN PHYSICAL THERAPY, LLC
Location Address203 STATE STOgdensburg, NY 13669-1403
Mailing Address203 State StOgdensburg, NY 13669-1403 · (315) 393-2024 · Fax (315) 393-2025
Fax(315) 393-2025
Organization SubpartNo
Authorized OfficialJeanine Ruth MclellanOwner · (315) 393-2024
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJune 23, 2015
✔ NPI 1174624969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 011013
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
203 STATE ST, Ogdensburg, NY 13669

Other Identifiers 1

Medicare ID-Type Unspecified56165ANY · Medicare Group Provider #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northern Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Northern Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (10)

Physical Therapist in Private Practice
NPI 1942301635
203 STATE ST
Ogdensburg, NY 13669
(315) 393-2024
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1639658230
203 STATE ST STE 1
Ogdensburg, NY 13669
(315) 393-2024
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1467110403
80 E MAIN ST
Canton, NY 13617
(315) 261-5490
✔ Accepts Medicare17 mi
Physical Therapist in Private Practice
NPI 1649797788
26908 INDEPENDENCE WAY
Evans Mills, NY 13637
(315) 629-6255
✔ Accepts Medicare47 mi
Physical Therapist in Private Practice
NPI 1447745732
1001 WEST ST
Carthage, NY 13619
(315) 493-1340
49 mi
Physical Therapist in Private Practice
NPI 1780842377
53-59 PUBLIC SQ STE 202
Watertown, NY 13601
(315) 786-3225
✔ Accepts Medicare54 mi
Physical Therapist in Private Practice
NPI 1952569543
830 WASHINGTON ST
Watertown, NY 13601
(315) 785-4088
✔ Accepts Medicare55 mi
Physical Therapist in Private Practice
NPI 1457651697
283 W NORTH ST
Geneva, NY 14456
(315) 789-0841
✔ Accepts Medicare146 mi
Physical Therapist in Private Practice
NPI 1639356561
61 EMERALD PL
Rock Hill, NY 12775
(845) 703-6999
217 mi
Physical Therapist in Private Practice
NPI 1275085276
110 BYPASS 225
Greenwood, SC 29646
(864) 223-0406
✔ Accepts Medicare808 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Physical Therapy, LLC's NPI number?

The NPI number for Northern Physical Therapy, LLC is 1174624969. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Northern Physical Therapy, LLC located?

Northern Physical Therapy, LLC is located at 203 State St, Ogdensburg, NY 13669. The listed phone number is (315) 393-2024.

What is Northern Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Northern Physical Therapy, LLC enrolled in Medicare?

Yes. Northern Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Physical Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Northern Physical Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northern Physical Therapy, LLC was last updated on June 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.