McMahon Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MCMAHON PHYSICAL THERAPY LLC

Practice address

10992 Highway 51 S Ste 100
Atoka, TN 38004-4945

Phone

(901) 486-9064

NPI assigned

Mar 19, 2024

Last updated

May 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth McMahon, DPTNPI 1477684348

Title

Owner/Physical Therapist

Phone

(901) 837-5678

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Phillip McMahon, DPT

  • Physical Therapist
  • Atoka, TN
  • NPI 1477684348
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1306606306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SAGE FIELD DR",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380021506",
            "telephone_number": "901-837-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10992 HIGHWAY 51 S STE 100",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380044945",
            "telephone_number": "901-486-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMAHON PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "901-837-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Leary, DPT
• Mindy Ann Ledford, NP-C
• Abrianna Marie Lochner, DPT, PT
• Michael John Majestic, DPT
• Kelli D Mauldin, PHARM. D.
• Kenneth Phillip McMahon, DPT
• McMillian Eye Care
• McMillian Eye Care
• Jeff A McMillian, O.D.
• Niyokia Antwanette Meacham, FNP

• Physical Therapist in Atoka, TN
• Providers in Atoka, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.