MCM PT Service

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00544800 Issued in NJ

Legal business name

MCM PT SERVICE

Practice address

130 Maple Ave
Suite 4a
Red Bank, NJ 07701-1734

Phone

(732) 741-0678

NPI assigned

Oct 13, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Virginia Spears

Title

Office Manager

Phone

(732) 741-0678

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Bernadette Azcarraga, PHYSICAL THERAPIST

  • Physical Therapist
  • Red Bank, NJ
  • NPI 1649314980
  NPD (past)
• Michael P Murphy, PT

  • Physical Therapist
  • Red Bank, NJ
  • NPI 1396871968
  NPD (past)

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1659523371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAPLE AVE",
            "address_2": "SUITE 4A",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011734",
            "telephone_number": "732-741-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAPLE AVE",
            "address_2": "SUITE 4A",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011734",
            "telephone_number": "732-741-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCM PT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-741-0678",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00369200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00544800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique McIntosh, LPC
• Amy Koontz McKeown, NP
• Andrea L McKie, MS, LCADC
• Andrew McKillop, MS, LAC, NBCC, MBPSS
• John Joseph McLaughlin, PT
• Carla P. McMenamy, PT
• Anne Camille McNamara, LCADC
• Celeste G Mecca
• Mediation and Therapy Associates LLC
• Fabiola Medrano

• Physical Therapist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.