Individual provider Active NPI

Jonathon Casey McGee, D.P.T.

  • Physical Therapist
  • Lebanon, TN
National Provider Identifier
1013918499
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7150 Issued in TN
Practice address
521 W Main St
Lebanon, TN 37087-3460
Phone
(615) 444-9400
Fax
(615) 444-9406
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7150 TN Primary

Addresses

Primary practice location

521 W Main St
Lebanon, TN 37087-3460

Mailing address

521 W Main St
Lebanon, TN 37087-3460
Phone (615) 444-9400

Other identifiers 1

IdentifierTypeStateIssuer
3645099MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000275 TN Practitioner - Physical Therapist in Private Practice 6002853850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urban Physical Therapy, IncGroup PAC ID 6709935372, 3 clinicians

Practice addresses (Care Compare)

1110 W Main St
Lebanon, TN 37087-3206
Phone (615) 444-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7150TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Physical Therapy, Inc CurrentSince Jul 13, 2009 Accepting new patients

Locations

521 W Main St
Lebanon, TN 37087
Phone (615) 444-9400

1110 W Main St
Lebanon, TN 37087
Phone (615) 444-9400

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1013918499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873460",
            "telephone_number": "615-444-9400",
            "fax_number": "615-444-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873460",
            "telephone_number": "615-444-9400",
            "fax_number": "615-444-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "JONATHON",
        "middle_name": "CASEY",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3645099",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.