P Praxis·MD
● Active Type 1 · Individual

Matthew Bruce McClellan, C.P.O.

Prosthetist·Tyler, TX· NPI 1073134177 · Enumerated 2020 · 6 years on NPI
McClellan is 1 of 4 prosthetist providers in Tyler and 1 of 271 in Texas.
NPI age
6 years
Enumerated 2020-04-29
Primary specialty
Prosthetist
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-04-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 271 active prosthetist providers in Texas.

NPI age
6 years
↓ 5 yr below median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 55% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-04Enumerated in NPPES
2020 2026

Where they practice

Practice location
1122 E Front St
Tyler, TX 757028414
📞 9035926574fax 9035953862
Mailing address
1122 E Front St
Tyler, TX 757028414
📞 9035926574fax 9035953862

Specialties

  • Prosthetist Primary
    A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs,...
    TX license #2047 taxonomy 224P00000X
  • Orthotist
    A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower...
    TX license #2047 taxonomy 222Z00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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