MARZJAN MCLELLAN
NPI 1629806971
Physical Therapist in Queensbury, NY

Active since July 25, 2024
653 BAY RD, QUEENSBURY, NY 12804(518) 761-0176 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marzjan Mclellan NPPES

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

MARZJAN MCLELLAN (NPI 1629806971) is an individual physical therapist in Queensbury, New York, licensed in Tennessee (13593) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1629806971
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMARZJAN MCLELLAN
Location Address653 BAY RDQueensbury, NY 12804-1446
Mailing Address501 Wildwood DrSmyrna, TN 37167-8216 · (615) 648-5950
Sole ProprietorYes
Enumeration DateJuly 25, 2024
NPPES CertifiedJuly 25, 2024
✔ NPI 1629806971 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 TN · 13593
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.
653 BAY RD, Queensbury, NY 12804

Other Names 1

Other Name (5)Marzjan Mustafa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marzjan Mclellan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Marzjan Mclellan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
18 ARBOR LANE
Dewitt, NY 13214
  • Reassigned Medicare billing, New York enrollment
  • 205 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
653 BAY RD
QUEENSBURY, NY 12804
Occupational Therapist
653 BAY RD
QUEENSBURY, NY 12804
Assisted Living Facility
653 BAY RD
QUEENSBURY, NY 12804
Occupational Therapist
653 BAY RD
QUEENSBURY, NY 12804

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 Marzjan Mclellan's NPI number?

The NPI number for Marzjan Mclellan is 1629806971. It was assigned to this individual provider in the NPPES registry on July 25, 2024. The provider is also known as Marzjan Mustafa.

Where is Marzjan Mclellan located?

Marzjan Mclellan practices at 653 Bay Rd, Queensbury, NY 12804. The listed phone number is (518) 761-0176.

What is Marzjan Mclellan's specialty?

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

Is Marzjan Mclellan enrolled in Medicare?

Yes. Marzjan Mclellan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marzjan Mclellan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marzjan Mclellan reassigns Medicare benefits to Affinity Rehabilitation LLP (Dewitt, NY). The 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 Marzjan Mclellan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marzjan Mclellan was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.