MEDICARE: MCCLAIN PHYSICAL THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1629920046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCCLAIN PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	12300 HIGHWAY 71 S STE C
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72916-9474
Country	:	US
Telephone Number	:	479-395-1110
Fax Number	:	479-358-1517

Provider Business Practice Location Address
First Line	:	12300 HIGHWAY 71 S STE C
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72916-9474
Country	:	US
Telephone Number	:	479-395-1110
Fax Number	:	479-358-1517

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KIM MCCLAIN
Credential	:
Telephone Number	:	501-529-0090

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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