Active NPI
Angela Mackay, PT, DPT
- Physical Therapist
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT029575
- Practice address
- 1645 W 8TH St
Erie, PA 16505-5097 - Phone
- (814) 875-8700
- NPI assigned
- Jul 5, 2021
- Last updated
- Jul 5, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0017760 | CO | |
| Physical Therapist | 225100000X | PT029575 | PA | Primary |
Addresses
Primary practice location
1645 W 8TH St
Erie, PA 16505-5097
Mailing address
9265 Abbey Rd
North Royalton, OH 44133-1127
Phone (440) 773-4843
Other practice location 1
1717 E 38th St
Erie, PA 16510-3411
Phone (814) 899-1023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0017760 | CO | MD | Physical Therapist |
| PT029575 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Denver Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Colorado Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Denver Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790
6840 S University Blvd
Ste 400
Centennial, CO 80122
Phone (303) 771-5120
501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782
5801 S Quebec St
Ste 100
Greenwood Village, CO 80111
Phone (303) 694-9193
8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100
Organizations & group practices 6
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.
-
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- Denver, CO
- NPI 1891461125
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- Physical Therapist
- Denver, CO
- NPI 1912717000
-
dba Orthopedic Centers of Colorado - Saint Joseph
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
dba Lafayette Clinic
- Family Medicine Physician
- Lafayette, CO
- NPI 1326651480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625443200000",
"number": "1295306892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9265 ABBEY RD",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441331127",
"telephone_number": "440-773-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 W 8TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165055097",
"telephone_number": "814-875-8700"
}
],
"practiceLocations": [
{
"address_1": "1717 E 38th St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165103411",
"country_code": "US",
"telephone_number": "814-899-1023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACKAY",
"first_name": "ANGELA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-05",
"last_updated": "2021-07-05",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0017760",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT029575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.