John Martin McKillop, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018137-1 Issued in NY

Practice address

631 Saw Mill River Rd
Suite 1N
Ardsley, NY 10502-2146

Phone

(914) 693-6377

Fax

(914) 693-6384

NPI assigned

Mar 26, 2007

Last updated

Mar 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Theramax Rehabilitation & Sports Physical Therapy PLLC

  • Physical Therapist
  • Ardsley, NY
  • NPI 1952519084
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1154448777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 SAW MILL RIVER RD",
            "address_2": "SUITE 1N",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022146",
            "telephone_number": "914-693-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 SAW MILL RIVER RD",
            "address_2": "SUITE 1N",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022146",
            "telephone_number": "914-693-6377",
            "fax_number": "914-693-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKILLOP",
        "first_name": "JOHN",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018137-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Soledad Marsigliano, TEACHER
• Sheila J Martin
• Irene Denamarquez Martinez, PHARMD
• Jennifer Anne Mastafiak-Carron, MA, CCC-SLP
• Laura Jean Mathieson
• Hanz Phillipe Medard
• Mei Lewis Physical Therapy PLLC
• Memory Helpers Psychological Services, PLLC
• Tevfik Ugur Mentes, MD
• David Merer, MD

• Physical Therapist in Ardsley, NY
• Providers in Ardsley, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.