Individual provider Active NPI

Paul John Mackarey, PT DPT

  • Physical Therapist
  • Scranton, PA
National Provider Identifier
1679953186
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
TPT021635 Issued in PA
Practice address
240 Penn Ave
Scranton, PA 18503-1932
Phone
(570) 558-0290
Fax
(570) 558-0291
NPI assigned
Jun 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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 TPT021635 PA Primary

Addresses

Primary practice location

240 Penn Ave
Scranton, PA 18503-1932

Mailing address

240 Penn Ave
Scranton, PA 18503-1932
Phone (570) 558-0290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160801001600 PA Practitioner - Physical Therapist in Private Practice 9537452370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mackarey and Mackarey Physical Therapy Consultants LLCGroup PAC ID 9032181912, 4 clinicians

Practice addresses (Care Compare)

240 Penn Ave
Scranton, PA 18503-1932
Phone (570) 558-0290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPT021635PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Physical Therapy, LLC Physical Therapist CurrentSince Mar 29, 2016 Accepting new patients
Mackarey & Mackarey Physical Therapy Consultants, LLC Physical Therapist CurrentSince Jul 19, 2018 Accepting new patients

Locations

163 Pottstown Pike
Chester Springs, PA 19425
Phone (610) 458-6464

240 Penn Ave
Scranton, PA 18503
Phone (570) 558-0290

Organizations & group practices 2

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1679953186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031932",
            "telephone_number": "570-558-0290",
            "fax_number": "570-558-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031932",
            "telephone_number": "570-558-0290",
            "fax_number": "570-558-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAREY",
        "first_name": "PAUL",
        "middle_name": "JOHN",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "TPT021635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.