Benjamin Timothy McAuley, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6719 Issued in GA

Practice address

3450 Cobb Pkwy NW
Suite 140
Acworth, GA 30101-8351

Phone

(770) 974-1978

Fax

(770) 974-1979

NPI assigned

Jun 2, 2006

Last updated

Nov 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1609813021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 COBB PKWY NW",
            "address_2": "SUITE 140",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018351",
            "telephone_number": "770-974-1978",
            "fax_number": "770-974-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAULEY",
        "first_name": "BENJAMIN",
        "middle_name": "TIMOTHY",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT6719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00097956",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427259008A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GA",
            "identifier": "808095",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann May, PHARMD
• Mays & Valle, P.C. (TrueVision)
• Brian D. Mays, O.D.
• Elizabeth Mbogoh
• Marian R McAdams
• Julie Anne McDonald, RPH
• Sean McGeehan
• Michelle McGlamery, LCSW
• Erin M McGonegal, DPT
• Laura A McGowen, M.S., CCC-SLP

• Physical Therapist in Acworth, GA
• Providers in Acworth, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.