Active NPI
Noreen Theresa Mahon, PT MS DPT
- Pediatric Physical Therapist
- Monroe, NY
National Provider Identifier
1659521516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 011257
- Practice address
- 48 Poplar Dr
Monroe, NY 10950-1015 - Phone
- (845) 783-3730
- Fax
- (845) 238-2091
- NPI assigned
- Sep 26, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 011257 | NY | Primary |
Addresses
Primary practice location
48 Poplar Dr
Monroe, NY 10950-1015
Mailing address
48 Poplar Dr
Monroe, NY 10950-1015
Phone (845) 783-3730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About Kids LLC | Pediatrics | Past | Accepting new patients |
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": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1659521516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 POPLAR DR",
"city": "MONROE",
"state": "NY",
"postal_code": "109501015",
"telephone_number": "845-783-3730",
"fax_number": "845-238-2091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 POPLAR DR",
"city": "MONROE",
"state": "NY",
"postal_code": "109501015",
"telephone_number": "845-783-3730",
"fax_number": "845-238-2091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHON",
"first_name": "NOREEN",
"middle_name": "THERESA",
"name_prefix": "Dr.",
"credential": "PT MS DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "011257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.