Active NPI
Joseph Earl Mackay, PHYSICAL THERAPIST
- Physical Therapist
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00010246
- Practice address
- 1408 N Louisiana St
Suite 104 a
Kennewick, WA 99336-7167 - Phone
- (509) 783-1962
- Fax
- (509) 783-1706
- NPI assigned
- Oct 12, 2006
- Last updated
- Nov 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00010246 | WA | Primary |
| Physical Therapist | 225100000X | NU |
Addresses
Primary practice location
1408 N Louisiana St
Suite 104 a
Kennewick, WA 99336-7167
Mailing address
11481 SW Hall Blvd
Ste 201
Portland, OR 97223-8403
Phone (800) 219-8835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lourdes Hospital LLC
Practice addresses (Care Compare)
520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 544-6176
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00010246 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lourdes Hospital LLC | Current | Accepting new patients | |
| Lourdes Hospital LLC | Current | Accepting new patients | |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Lourdes Hospital LLC | Past | Accepting new patients | |
| Our Lady of Lourdes Hospital at Pasco | Past | Accepting new patients | |
| Our Lady of Lourdes Health Center | Past | Accepting new patients | |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
1200 N 14th Ave
Pasco, WA 99301
Phone (509) 547-7536
507 N 5th Ave
Pasco, WA 99301
Phone (509) 543-1975
520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140
7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027
1175 Carondelet Dr
Richland, WA 99354
Phone (509) 943-9104
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Pasco, WA
- NPI 1659861060
-
dba Lourdes West Pasco
- Family Medicine Physician
- Pasco, WA
- NPI 1659505840
-
dba Lourdes Urgent Care Radiology
- Diagnostic Radiology Physician
- Pasco, WA
- NPI 1639503774
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1265521983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11481 SW HALL BLVD",
"address_2": "STE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238403",
"telephone_number": "800-219-8835",
"fax_number": "503-443-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 N LOUISIANA ST",
"address_2": "SUITE 104 A",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367167",
"telephone_number": "509-783-1962",
"fax_number": "509-783-1706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKAY",
"first_name": "JOSEPH",
"middle_name": "EARL",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010246",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.