McMahon Physical Therapy LLC
Organization Active NPI Physical Therapist · Atoka, TN
NPI 1306606306 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1306606306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Kenneth McMahon, DPT
- Title
- Owner/Physical Therapist
- Phone
- (901) 837-5678
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240815002401 | TN | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9133667678 |
Receives reassigned benefits from 1 practitioner Practice locations: Atoka, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
10992 Highway 51 S Ste 100
Atoka, TN 38004-4945
Mailing address
85 Sage Field Dr
Lakeland, TN 38002-1506
Phone (901) 837-5678
Other providers in Atoka, TN
- Dominique Leary
- Mindy Ann Ledford
- Abrianna Marie Lochner
- Michael John Majestic
- Kelli D Mauldin
- Kenneth Phillip McMahon
- McMillian Eye Care
- McMillian Eye Care
- Jeff A McMillian
- Niyokia Antwanette Meacham
All providers in Atoka, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.