NPIMap

Organization Active NPI

Mackarey & Mackarey Physical Therapy Consultants, LLC

  • Physical Therapist
  • Scranton, PA
National Provider Identifier
1215995196
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MACKAREY & MACKAREY PHYSICAL THERAPY CONSULTANTS, LLC
Practice address
240 Penn Ave
Mackarey and Mackarey Physical Therapy Consultants LLC
Scranton, PA 18503-1932
Phone
(570) 558-0290
Fax
(570) 558-0291
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Paul J Mackarey, PT DHSC OCS
Title
President
Phone
(570) 558-0290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

240 Penn Ave
Mackarey and Mackarey Physical Therapy Consultants LLC
Scranton, PA 18503-1932

Mailing address

240 Penn Ave
Mackarey and Mackarey Physical Therapy Consultants LLC
Scranton, PA 18503-1932
Phone (570) 558-0290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000068 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9032181912 Receives reassigned benefits from 4 practitioners
Practice locations: Scranton, PA; South Abington TWP, PA

National Provider Directory

National Provider Directory

Locations

240 Penn Ave
Scranton, PA 18503
Phone (570) 558-0290

105 Edella Rd
South Abington Township, PA 18411
Phone (570) 558-0290

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1215995196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PENN AVE",
            "address_2": "MACKAREY AND MACKAREY PHYSICAL THERAPY CONSULTANTS LLC",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031932",
            "telephone_number": "570-558-0290",
            "fax_number": "570-558-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PENN AVE",
            "address_2": "MACKAREY AND MACKAREY PHYSICAL THERAPY CONSULTANTS LLC",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031932",
            "telephone_number": "570-558-0290",
            "fax_number": "570-558-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKAREY & MACKAREY PHYSICAL THERAPY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "MACKAREY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-558-0290",
        "authorized_official_credential": "PT DHSC OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.