Kathleen McDonough Physical Therapy Associates PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

KATHLEEN MCDONOUGH PHYSICAL THERAPY ASSOCIATES PC

Practice address

224 Greenfield Ave Ste 1
San Anselmo, CA 94960-2472

Phone

(415) 272-3966

Fax

(415) 457-4200

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Kathleen Hope McDonough, PTNPI 1528289907

Title

Owner

Phone

(415) 272-3966

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Hope McDonough, M.A., P.T.

  • Orthopedic Physical Therapist
  • San Anselmo, CA
  • NPI 1528289907
  NPD (past) Authorized official
• Sean Joseph Moloney, D.O.

  • Family Medicine Physician
  • San Anselmo, CA
  • NPI 1518235423
  NPD (past)

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556409600000",
    "number": "1497278014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MEADOWCROFT DR",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601507",
            "telephone_number": "415-272-3966",
            "fax_number": "415-785-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 GREENFIELD AVE STE 1",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602472",
            "telephone_number": "415-272-3966",
            "fax_number": "415-457-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN MCDONOUGH PHYSICAL THERAPY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2019-04-28",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-272-3966",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2019; 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.