Maison McKee
Individual provider Active NPI Orthopedic Physical Therapist · Columbus, GA
NPI 1154854792 · NPPES record last updated Apr 11, 2017
Key facts
- NPI
- 1154854792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- PT11116 (GA)
- Practice address
- 2300A Manchester Expy Ste 101B
Columbus, GA 31904-6812 - Phone
- (706) 256-0825
- NPI assigned
- Apr 11, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Horizons Diagnostics, L.L.C.
Practice addresses (Care Compare)
106 Enterprise CT
Suite a
Columbus, GA 31904-9096
Phone (706) 321-2555
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170901002800 | GA | Practitioner - Physical Therapist in Private Practice | 5597038125 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT11116 | GA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKee Performance Therapy | Current |
Accepting new patients | |
| Horizons Diagnostics, L.L.C. | Current |
Accepting new patients | |
| Human Performance and Rehabilitation Centers, LLC | Orthopedic | Current |
Accepting new patients |
| Human Performance and Rehabilitation Centers LLC | Current |
Accepting new patients | |
| Horizons Diagnostics, L.L.C. | Current |
Accepting new patients |
Locations
106 Enterprise Ct
Ste A
Columbus, GA 31904
Phone (706) 321-2555
6298 Veterans Pkwy
Ste 5A
Columbus, GA 31909
Phone (706) 320-0927
106 Enterprise Ct
Ste C
Columbus, GA 31904
Phone (706) 221-6448
3934 Woodruff Rd
Columbus, GA 31904
Phone (706) 321-0476
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDJDBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT11116 | GA | Yes |
Addresses
Primary practice location
2300A Manchester Expy Ste 101B
Columbus, GA 31904-6812
Mailing address
71 Gambel CT
Midland, GA 31820-6400
Phone (850) 445-4906
Other providers in Columbus, GA
- Christopher Leon McIntire
- Marie Kathlyn McIntosh
- Onedia Natasha McIntosh
- Wade H. McIntyre III
- Christy Lynn Ott McKay
- Roselda McKee
- John Keith McKelvey
- Colin Seawell McKenzie
- Cayla McKeon
- Chelsea McKinley
All providers in Columbus, GA · Orthopedic Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.