Individual provider Active NPI

Lisa M McMahon, PT

  • Physical Therapist
  • Topeka, KS
National Provider Identifier
1396922092
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1103782 Issued in KS
Practice address
5220 SW 17TH St
Suite 130
Topeka, KS 66604-2459
Phone
(785) 271-5533
Fax
(785) 271-8818
NPI assigned
Jan 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1103782 KS Primary

Addresses

Primary practice location

5220 SW 17TH St
Suite 130
Topeka, KS 66604-2459

Mailing address

5220 SW 17TH St
Suite 130
Topeka, KS 66604-2459
Phone (785) 271-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712002342 MO Practitioner - Physical Therapist in Private Practice 8527146208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01475MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Rehab and Wellness, LLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Sylvia a Mehl Physical Therapy Inc Physical Therapist PastSince Jan 15, 2018 Accepting new patients
Rebound Physical Therapy Inc. Physical Therapist PastSince Apr 1, 2005 Accepting new patients
Rebound Physical Therapy at Wood Valley Physical Therapist Past Accepting new patients

Locations

1043 Wolfrum Rd
Weldon Spring, MO 63304
Phone (314) 517-7669

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1396922092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 SW 17TH ST",
            "address_2": "SUITE 130",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042459",
            "telephone_number": "785-271-5533",
            "fax_number": "785-271-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 SW 17TH ST",
            "address_2": "SUITE 130",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042459",
            "telephone_number": "785-271-5533",
            "fax_number": "785-271-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1103782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.