Organization Active NPI

Mahon Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Valley Stream, NY
National Provider Identifier
1003137472
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
021973 Issued in NY
Legal business name
MAHON PHYSICAL THERAPY PC
Practice address
28 Jasmine LN
Valley Stream, NY 11581-2412
Phone
(516) 596-8231
Fax
(516) 792-3819
NPI assigned
Jun 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Frederick Mahon, M.S.,P.T
Title
President
Phone
(516) 596-8231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 021973 NY Primary

Addresses

Primary practice location

28 Jasmine LN
Valley Stream, NY 11581-2412

Mailing address

28 Jasmine LN
Valley Stream, NY 11581-2412
Phone (516) 596-8231

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1003137472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 JASMINE LN",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812412",
            "telephone_number": "516-596-8231",
            "fax_number": "516-792-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 JASMINE LN",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812412",
            "telephone_number": "516-596-8231",
            "fax_number": "516-792-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHON PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "MAHON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-596-8231",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.,P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "021973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.