Individual provider Active NPI

Amy McMahon

  • Physical Therapist
  • Barnegat, NJ
National Provider Identifier
1649464579
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA01205400 Issued in NJ
Practice address
890 W Bay Ave
Suite a
Barnegat, NJ 08005-2150
Phone
(609) 698-1073
Fax
(609) 698-1473
NPI assigned
Sep 4, 2007
Last updated
Jan 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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 QA01205400 NJ Primary

Addresses

Primary practice location

890 W Bay Ave
Suite a
Barnegat, NJ 08005-2150

Mailing address

890 W Bay Ave
Suite a
Barnegat, NJ 08005-2150
Phone (609) 698-1073

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081215000660 NJ Practitioner - Physical Therapist in Private Practice 5597827261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnegat Sports Rehabilitation and Physical Therapy LLCGroup PAC ID 8628151693, 13 clinicians

Practice addresses (Care Compare)

200 Mathistown Rd
Unit 5
Little Egg Harbor TWP, NJ 08087-1207
Phone (609) 857-5697

602 Route 72 E
Suite 3 BSR
Manahawkin, NJ 08050-3538
Phone (609) 549-5015

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
81.84
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA01205400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barnegat Sports Rehabilitation & Physical Therapy LLC Physical Therapist CurrentSince Dec 1, 2008 Accepting new patients

Locations

770 Lighthouse Dr
Ste 170B
Barnegat, NJ 08005
Phone (609) 698-1073

890 W Bay Ave
Ste A
Barnegat, NJ 08005
Phone (609) 698-1073

602 Route 72 E
Ste 3
Manahawkin, NJ 08050
Phone (609) 549-5015

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1649464579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W BAY AVE",
            "address_2": "SUITE A",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052150",
            "telephone_number": "609-698-1073",
            "fax_number": "866-842-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W BAY AVE",
            "address_2": "SUITE A",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052150",
            "telephone_number": "609-698-1073",
            "fax_number": "609-698-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA01205400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnegat, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.