Active NPI
Julia K Mahoney-Graves, PT DPT
- Orthopedic Physical Therapist
- Manchester, MA
National Provider Identifier
1609940311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 16093
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16093 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jodi a Llacera Klein | Orthopedic | Current | 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.