Individual provider Active NPI

Julia K Mahoney-Graves, PT DPT

  • Orthopedic Physical Therapist
  • Manchester, MA
National Provider Identifier
1609940311
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
16093 Issued in MA
Practice address
40 Beach St
Suite 101
Manchester, MA 01944-1468
Phone
(978) 526-8288
Fax
(978) 526-7084
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 16093 MA Primary

Addresses

Primary practice location

40 Beach St
Suite 101
Manchester, MA 01944-1468

Mailing address

40 Beach St
Suite 101
Manchester, MA 01944-1468
Phone (978) 526-8288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061220000198 MA Practitioner - Physical Therapist in Private Practice 5294734224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jodi a Llacera Klein 3 clinicians

Practice addresses (Care Compare)

40 Beach St
Suite 101
Manchester, MA 01944-1464
Phone (978) 526-8288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16093MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jodi a Llacera Klein Orthopedic CurrentSince Jan 1, 2013 Accepting new patients

Locations

40 Beach St
Ste 101
Manchester by the Sea, MA 01944
Phone (978) 526-8288

Organizations & group practices 1

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609940311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEACH ST",
            "address_2": "SUITE 101",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441468",
            "telephone_number": "978-526-8288",
            "fax_number": "978-526-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEACH ST",
            "address_2": "SUITE 101",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441468",
            "telephone_number": "978-526-8288",
            "fax_number": "978-526-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY-GRAVES",
        "first_name": "JULIA",
        "middle_name": "K",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "16093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.