Individual provider Active NPI

Nancy M McMahon, P.T.

  • Physical Therapist
  • Vienna, VA
National Provider Identifier
1265671267
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20067 Issued in MD
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

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20091210000454 DC Practitioner - Physical Therapist in Private Practice 3678613395 Reassigns benefits to 1 organization

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
Ascend Physical Therapy and Wellness Inc.Group PAC ID 4587880356, 5 clinicians

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

LicenseStateTypeSpecialty
20067MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Physical Therapy & Wellness Inc. Physical Therapist CurrentSince Jan 25, 2014 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.

Verify at the official NPI Registry.