Jennifer Lynne McMahon

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502003039 Issued in MI

Practice address

219 N Main St
Davison, MI 48423-1431

Phone

(810) 412-4573

NPI assigned

Nov 15, 2024

Last updated

Nov 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Childrens Rehab Clinic

  • Physical Therapist
  • Davison, MI
  • NPI 1942606090
  NPD

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1316762230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GARLAND ST",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231328",
            "telephone_number": "810-730-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N MAIN ST",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231431",
            "telephone_number": "810-412-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502003039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McLaren Health Management Group (McLaren CareNow)
• McLaren Health Management Group (McLaren Home Infusion)
• McLaren Health Management Group (McLaren Hospice)
• McLaren Health Management Group (McLaren Medical Supplies)
• McLaren Medical Management Inc
• Collin James McMillan, CPT
• MD Enterprises PLLC (AMD Urgent Care Davison)
• Medical Equipment of Michigan
• Asie Lee Meeks
• Meijer Inc (Meijer Pharmacy #244)

• Physical Therapy Assistant in Davison, MI
• Providers in Davison, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.