Jaime Michelle McGough, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015906 Issued in PA

Practice address

2757 Leechburg Rd
Lower Burrell, PA 15068-3138

Phone

(724) 337-6522

Fax

(724) 337-0630

NPI assigned

Sep 30, 2005

Last updated

Aug 27, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Physical Therapy SpecialistsGroup PAC ID 2668696923, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Advance Physical Therapy Specialists

  • Physical Therapist
  • Morgantown, WV
  • NPI 1851716252
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1093702466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 OREGON DR",
            "address_2": "UNIT 8",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150682835",
            "telephone_number": "724-339-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 LEECHBURG RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150683138",
            "telephone_number": "724-337-6522",
            "fax_number": "724-337-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOUGH",
        "first_name": "JAIME",
        "middle_name": "MICHELLE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013558900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Lee Manzi, P.T.
• Amy Lyn Maszgay
• Heather Lynn Mayer, MS, PT
• Gordon Kent McClain, D.C,
• Kiersten Lizbeth McCracken, DPT
• Cheryl Scott McShea, P.T.
• Lawrence Mester, RPH
• Michael a Chapman DDS, PC
• Sheila Milton, LPN
• James Dean Minford, DMD

• Physical Therapist in Lower Burrell, PA
• Providers in Lower Burrell, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.