Mitchel Ross McNanna, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24782 Issued in MA

Practice address

406R Washington St
Holliston, MA 01746-1342

Phone

(508) 429-4940

NPI assigned

Feb 8, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connections Physical Therapy, Inc.Group PAC ID 3577456623, 88 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Connections Physical Therapy Inc

  • Physical Therapist
  • Wellesley, MA
  • NPI 1699752931
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581206400000",
    "number": "1700418621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LITTLEFIELD RD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573962",
            "telephone_number": "774-573-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406R WASHINGTON ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017461342",
            "telephone_number": "508-429-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNANNA",
        "first_name": "MITCHEL",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-08",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Maloney, LSW
• Massachusetts Special Care and Association
• Agatha McEachern, MSPT
• Michael J. McKay, BCBA
• Casey McLaughlin, NP
• Kara Marisa Megrian, RN
• Maria Meisner, LMHC
• Michael Krupa, Inc.
• Middlesex Psychiatry, PLLC
• Milford Braces PC (Sam Alkhoury DMD)

• Physical Therapist in Holliston, MA
• Providers in Holliston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; 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.