Active NPI
Jacquelyn McDonald, DPT
- Physical Therapist
- Memphis, TN
National Provider Identifier
1083045553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9540
- Practice address
- 1211 Union Ave
Suite 195
Memphis, TN 38104-6638 - Phone
- (901) 759-3280
- NPI assigned
- Dec 9, 2013
- Sex
- Female
- 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 | 9540 | TN | Primary |
Addresses
Primary practice location
1211 Union Ave
Suite 195
Memphis, TN 38104-6638
Mailing address
1211 Union Ave
Suite 195
Memphis, TN 38104-6638
Phone (901) 759-3280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2608 S Lamar Blvd
Suite 102
Oxford, MS 38655-5243
Phone (901) 759-3100
7545 Airways Blvd
Southaven, MS 38671-5806
Phone (901) 759-3196
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.09 of 100
- Quality
- 50.47
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CC Bpci PLC | Past | Accepting new patients |
Interoperability endpoints
- jacquelyn.mcdonald.1@1366.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1881387330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1083045553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 UNION AVE",
"address_2": "SUITE 195",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046638",
"telephone_number": "901-759-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 UNION AVE",
"address_2": "SUITE 195",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046638",
"telephone_number": "901-759-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JACQUELYN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-09",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "9540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.