Erin Mahan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2102870 Issued in TX

Practice address

203 N Alamo Rd
Rockwall, TX 75087-3008

Phone

(972) 722-1212

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Erin Skidmore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Cano Physical Therapy, PLLC

  • Physical Therapist
  • Rockwall, TX
  • NPI 1235221755

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1225680226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N ALAMO RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873008",
            "telephone_number": "972-722-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N ALAMO RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873008",
            "telephone_number": "972-722-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2102870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SKIDMORE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Macdonald, D.C.
• Hannah Mack
• Amanda Jo Maes, COTA
• Maggie Willis MSN Aprn BC FNP PLLC
• Stephanie Dawn Maglisceau, LPC-S
• Mohamed Nizar N. Mahomed, M.D.
• Katherine R Makohon, M.D.
• Sabrina A Malacara
• Macie Nicole Malcom
• Cheryl Maldanis, FNP

• Physical Therapy Assistant in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.