Active NPI
Nancy M McMahon, P.T.
- Physical Therapist
- Vienna, VA
National Provider Identifier
1265671267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20067
- Practice address
- 309 Plum St SW
Vienna, VA 22180-6323 - Phone
- (703) 304-4427
- NPI assigned
- Feb 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20067 | MD | Primary |
Addresses
Primary practice location
309 Plum St SW
Vienna, VA 22180-6323
Mailing address
309 Plum St SW
Vienna, VA 22180-6323
Phone (703) 304-4427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
307 Maple Ave W
Suite D
Vienna, VA 22180-4307
Phone (703) 272-8801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20067 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascend Physical Therapy & Wellness Inc. | Physical Therapist | Current | Accepting new patients |
Locations
3301 Woodburn Rd
Ste 301
Annandale, VA 22003
Phone (703) 204-9301
307 Maple Ave W
Ste D
Vienna, VA 22180
Phone (703) 272-8801
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408492800000",
"number": "1265671267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 PLUM ST SW",
"city": "VIENNA",
"state": "VA",
"postal_code": "221806323",
"telephone_number": "703-304-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 PLUM ST SW",
"city": "VIENNA",
"state": "VA",
"postal_code": "221806323",
"telephone_number": "703-304-4427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "NANCY",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-13",
"last_updated": "2014-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.