Jennifer Joy McMahon

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-014107 Issued in AZ

Practice address

5226 W Brown St
Glendale, AZ 85302-1600

Phone

(763) 350-3320

NPI assigned

Oct 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Joy Kriegler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1649933862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 W BROWN ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021600",
            "telephone_number": "763-350-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5226 W BROWN ST",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021600",
            "telephone_number": "763-350-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "JENNIFER",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-014107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KRIEGLER",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alison McLellan, PA-C
• Jessica Gisella McLemore, RN
• Yvonne McLemore
• Shayla McLeod
• Robin McLinn, ACNPC-AG
• Robert Hunter McMaster, M.D.
• Angela McMullin, LCSW
• Georgette McNally, LPC
• Marcia L McVay, RN
• Jan M McVey, O.D.

• Physical Therapy Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.