Active NPI
Paul John Mackarey, PT DPT
- Physical Therapist
- Scranton, PA
National Provider Identifier
1679953186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- TPT021635
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| TPT021635 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinetic Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Mackarey & Mackarey Physical Therapy Consultants, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Scranton, PA
- NPI 1215995196
-
- Physical Therapy Clinic/Center
- Chester Springs, PA
- NPI 1326132820
Physical Therapist
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.