Kelley M McGaughey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2011000807 Issued in MO

Practice address

15425 Manchester Rd
Ste.28
Ballwin, MO 63011-3077

Phone

(636) 220-6969

Fax

(636) 220-6973

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16118/brand/1/csg/1/fhir/r4
• Direct secure messaging: kelley.kissel.p2@direct.athleticoltd.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Therapy Spine & Sports Medicine LLC

  • Rehabilitation Clinic/Center
  • St. Peters, MO
  • NPI 1194454090
  NPD (past)
• Physical Therapy Spine & Sports Medicine LLC

  • Rehabilitation Clinic/Center
  • Ballwin, MO
  • NPI 1942524087
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1003940172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15425 MANCHESTER RD",
            "address_2": "STE. 28",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113077",
            "telephone_number": "636-220-6969",
            "fax_number": "636-220-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15425 MANCHESTER RD",
            "address_2": "STE.28",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113077",
            "telephone_number": "636-220-6969",
            "fax_number": "636-220-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAUGHEY",
        "first_name": "KELLEY",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2011000807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy C McCormac, PT
• Eva Marie McCormick, MS, RD
• Nanane McDermott
• Amy R McDonough, RPH
• Ashley Marie McFadden, P.T.
• Lisa M. McGivern, CRNA
• Sarah McGrew, AGNP
• Jessica McGuire, MSPT
• Sarah N McHugh, OTR/L
• Marion D McLain

• Physical Therapist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.