Individual provider Active NPI

Bethany J. McMahon, PT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1598843443
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34244 Issued in CA
Practice address
295 G St
San Diego, CA 92101-6808
Phone
(619) 238-4318
Fax
(619) 238-4320
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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 34244 CA Primary

Addresses

Primary practice location

295 G St
San Diego, CA 92101-6808

Mailing address

3444 Kearny Villa Rd
Suite 200
San Diego, CA 92123-1959
Phone (888) 208-8526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160210001226 CA Practitioner - Physical Therapist in Private Practice 4486735214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select San Diego Physical Therapy PCGroup PAC ID 4981088994, 58 clinicians

Practice addresses (Care Compare)

3218 Governor Dr
San Diego, CA 92122-2902
Phone (858) 453-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6927SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Sportscare and Physical Therapy Physical Therapist CurrentSince Jan 23, 2013 Accepting new patients
Select San Diego Physical Therapy, PC. Physical Therapist CurrentSince Jan 5, 2023 Accepting new patients
Select San Diego Physical Therapy, PC. Current Accepting new patients
Associated Rehabilitation Physical and Occupational Therapy, PLLC CurrentSince Dec 13, 2022 Accepting new patients
Select San Diego Physical Therapy, PC. Physical Therapist CurrentSince Jan 5, 2023 Accepting new patients
Strength Training Inc. Physical Therapist PastSince Jun 10, 2019 Accepting new patients
Strength Training Inc Past Accepting new patients

Locations

2851 S Avenue B
Ste 2402
Yuma, AZ 85364
Phone (800) 391-9477

2060 Otay Lakes Rd
Ste 110
Chula Vista, CA 91913
Phone (619) 373-9222

5648 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 464-1352

15525 Pomerado Rd
Ste C8
Poway, CA 92064
Phone (858) 674-4263

4910 Directors Pl
Ste 370
San Diego, CA 92121
Phone (858) 554-0522

3218 Governor Dr
San Diego, CA 92122
Phone (858) 453-3000

3939 Ruffin Rd
Ste 103
San Diego, CA 92123
Phone (858) 308-4185

3737 Moraga Ave
Ste B117
San Diego, CA 92117
Phone (858) 270-0981

11512 El Camino Real
Ste 110
San Diego, CA 92130
Phone (858) 793-1460

7625 Mesa College Dr
Ste 101
San Diego, CA 92111
Phone (858) 569-6800

16935 W Bernardo Dr
Ste 180
San Diego, CA 92127
Phone (858) 217-5837

400 S Melrose Dr
Ste 215
Vista, CA 92081
Phone (760) 509-9901

1900 Boundary St
Ste 101
Beaufort, SC 29902
Phone (843) 521-1970

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1598843443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 KEARNY VILLA RD",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231959",
            "telephone_number": "888-208-8526",
            "fax_number": "858-751-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 G ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016808",
            "telephone_number": "619-238-4318",
            "fax_number": "619-238-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "BETHANY",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.