Joseph Vincent Mahon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 42292 Issued in CA

Practice address

4295 Gesner St Ste 3C1
San Diego, CA 92117-6663

Phone

(877) 827-8246

Fax

(877) 827-8246

NPI assigned

Jun 23, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Performance Spine and Sports Medicine of Newtown, LLC

  • Durable Medical Equipment & Medical Supplies
  • Newtown, PA
  • NPI 1104161884
  NPD (past)
• Performance Spine and Sports Medicine of Newtown, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Newtown, PA
  • NPI 1578848651

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1013356005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 GESNER ST STE 3C1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176663",
            "telephone_number": "877-827-8246",
            "fax_number": "877-827-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 GESNER ST STE 3C1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176663",
            "telephone_number": "877-827-8246",
            "fax_number": "877-827-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "JOSEPH",
        "middle_name": "VINCENT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-23",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022729",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.014211",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 42292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niki Mahmoudzadeh, DPT
• Ehtisham Mahmud, M.D.
• Jairus K Mahoe, PHARMD
• Amal Mahomed
• Carly Jean Mahon
• Michelle C Mahone, PH.D.
• Kathleen Lorraine Mahoney-Salajan
• Brendan Mahoney, RN
• Kaitlyn Mahoney, DPT
• Kristin Dawn Mahoney, APCC

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.