Active NPI
Ciara McMahon, PT
- Physical Therapist
- Somerville, MA
National Provider Identifier
1104946722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT11933
- Practice address
- 11 Powder House Ter
Wacc 136
Somerville, MA 02144-2035 - Phone
- (617) 721-7846
- NPI assigned
- Mar 29, 2007
- 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 | PT11933 | MA | Primary |
Addresses
Primary practice location
11 Powder House Ter
Wacc 136
Somerville, MA 02144-2035
Mailing address
11 Powder House Ter
Somerville, MA 02144-2035
Phone (617) 627-9338
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 |
|---|---|---|---|
| PT11933 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1104946722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 POWDER HOUSE TER",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442035",
"telephone_number": "617-627-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 POWDER HOUSE TER",
"address_2": "WACC 136",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442035",
"telephone_number": "617-721-7846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "CIARA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PT11933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.