Timothy Mahoney

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-06144 Issued in KS

Practice address

7740 Hedge Lane Ter
Shawnee, KS 66227-3017

Phone

(913) 745-7537

NPI assigned

Jun 11, 2019

Sex

Male

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

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freedom Physical Therapy and Training Center PAGroup PAC ID 1153649777, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Freedom Physical Therapy and Training Center PA

  • Physical Therapy Clinic/Center
  • Shawnee, KS
  • NPI 1609267913

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Spectrum Private Care Services, LLC

  • Home Health Agency
  • Shawnee, KS
  • NPI 1205832987
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1548829732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16951 W 93RD PL APT 18207",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662192553",
            "telephone_number": "913-940-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 HEDGE LANE TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662273017",
            "telephone_number": "913-745-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lyon
• Allyson Ann Mabry, LMSW
• William Robrick Macdougall II, LMSW
• Glenn Mackay, MD
• Bailey Magyar
• Jennifer Mahurin, LMSW
• Jane Violet Makona, APRN, FNP-C
• Jennyfer Howard Malley, FNP
• Michaela Ruth Mallon, MD
• Alexandra Malone

• Physical Therapist in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.