MGM PT, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MGM PT, LLC

Practice address

5941 Snider Rd Ste a
Mason, OH 45040-6733

Phone

(513) 965-1516

NPI assigned

Dec 20, 2021

Organization subpart

No

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

Authorized official

Name

Mark McAuliffe

Title

Owner

Phone

(513) 965-1516

Specialties & licenses 1

Addresses

Other names 1

• FYZICAL Therapy & Balance Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Malay, PT, DPT

  • Human Factors Physical Therapist
  • Middletown, OH
  • NPI 1922704345
  Medicare reassignment Care Compare group NPD
• Benjamin Jones

  • Physical Therapist
  • Mesa, AZ
  • NPI 1831638774

  OH

  Medicare reassignment Care Compare group NPD
• Nichole Jones, DPT

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1093232803
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1285394155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 TENNYSON CT",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696435",
            "telephone_number": "513-965-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 SNIDER RD STE A",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406733",
            "telephone_number": "513-965-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "MCAULIFFE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-965-1516"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mevyia Healthcare Services LLC
• Kristen Meyer, OTR
• Kristen Riley Meyer
• Mikaela Rose Meyer, LMT
• Sharon Meyer
• Michael W. Hammer,O.D. Inc.
• Austin James Michael, CCC-SLP
• Courtney Marie Michalak
• Holly S Michel
• Jason Middleton

• Physical Therapy Clinic/Center in Mason, OH
• Providers in Mason, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.