Active NPI
Charles Mahon, DPT
- Physical Therapist
- Brevard, NC
National Provider Identifier
1265862288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18030
- Practice address
- 59 Oakdale St
Brevard, NC 28712-3951 - Phone
- (828) 966-9036
- NPI assigned
- Nov 13, 2013
- Last updated
- Feb 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | P18030 | NC | Primary |
Addresses
Primary practice location
59 Oakdale St
Brevard, NC 28712-3951
Mailing address
PO Box 18539
Asheville, NC 28814-0539
Phone (828) 966-9036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1265862288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18539",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288140539",
"telephone_number": "828-966-9036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 OAKDALE ST",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123951",
"telephone_number": "828-966-9036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHON",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-13",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.