Kenneth Phillip McMahon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6204 Issued in TN

Practice address

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

Phone

(901) 486-9064

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McMahon Physical Therapy LLC

  • Physical Therapist
  • Atoka, TN
  • NPI 1306606306
  Medicare reassignment NPD Authorized official
• Agilitas USA Inc

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  Physical Therapist, TN

  Medicare reassignment NPD
• Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD
• Rehab, Etc., Inc.

  • Physical Therapist
  • Memphis, TN
  • NPI 1104032465
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2024.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1477684348",
    "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": {
        "last_name": "MCMAHON",
        "first_name": "KENNETH",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Ann Ledford, NP-C
• Abrianna Marie Lochner, DPT, PT
• Michael John Majestic, DPT
• Kelli D Mauldin, PHARM. D.
• McMahon Physical Therapy LLC
• McMillian Eye Care
• McMillian Eye Care
• Jeff A McMillian, O.D.
• Niyokia Antwanette Meacham, FNP
• Medical Comfort Transportation Service LLC

• All providers in Atoka, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.