Active NPI
Michael T Mahony, DPT
- Physical Therapist
- Manahawkin, NJ
National Provider Identifier
1013679372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02051700
- Practice address
- 601 Route 72 E
Manahawkin, NJ 08050-3544 - Phone
- (609) 607-7400
- Fax
- (609) 488-5654
- NPI assigned
- Oct 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02051700 | NJ | Primary |
Addresses
Primary practice location
601 Route 72 E
Manahawkin, NJ 08050-3544
Mailing address
230 Division St
Manahawkin, NJ 08050-3130
Phone (609) 713-9976
Other practice location 1
950 Hooper Ave Ste 2
Toms River, NJ 08753-8372
Phone (848) 251-5355
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | seashoreptc@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02051700 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seashore Pediatric Therapy Center PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Manahawkin, NJ
- NPI 1396277083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1013679372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 DIVISION ST",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080503130",
"telephone_number": "609-713-9976",
"fax_number": "609-488-5654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ROUTE 72 E",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080503544",
"telephone_number": "609-607-7400",
"fax_number": "609-488-5654"
}
],
"practiceLocations": [
{
"address_1": "950 Hooper Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Toms River",
"state": "NJ",
"postal_code": "087538372",
"country_code": "US",
"telephone_number": "848-251-5355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHONY",
"first_name": "MICHAEL",
"middle_name": "T",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-13",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02051700",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "seashoreptc@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "601 Route 72 E",
"city": "Manahawkin",
"state": "NJ",
"country_code": "US",
"postal_code": "080503544",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.