Kathleen A Mackay, PT, CST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1759 Issued in NH

Practice address

572 Tenney Mountain Hwy
Plymouth, NH 03264-3145

Phone

(603) 707-0080

Fax

(603) 536-5008

NPI assigned

Feb 14, 2007

Last updated

Mar 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-State Health CenterGroup PAC ID 1951363563, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid-State Health Center

  • Internal Medicine Physician
  • Plymouth, NH
  • NPI 1811156409
  Medicare reassignment Care Compare group NPD
• Mid-State Health Center

  • Federally Qualified Health Center (FQHC)
  • Bristol, NH
  • NPI 1225154065
  NPD
• Mid-State Health Center

  • Family Medicine Physician
  • Plymouth, NH
  • NPI 1932920857
  NPD
• Mid-State Health Center

  • Federally Qualified Health Center (FQHC)
  • Plymouth, NH
  • NPI 1235170549
  NPD (past)
• Mid-State Health Center

  • Physical Therapy Clinic/Center
  • Plymouth, NH
  • NPI 1245997584
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1750424586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 TENNEY MOUNTAIN HWY",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643145",
            "telephone_number": "603-707-0080",
            "fax_number": "603-536-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 TENNEY MOUNTAIN HWY",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643145",
            "telephone_number": "603-707-0080",
            "fax_number": "603-536-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "PT, CST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1759",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Lorrey
• Susan E Lovett-Delanoy, OTR
• Cheryl A Lumbruno, PT
• Carol Gould Lurie, A.R.N.P.
• Kathleen A. Lutter, R.D.
• Nolan Manning
• Michael Arik Mariska, N.C.C., L.P.C.
• Amy Marshall, PHD, OTR/L
• Tyler Masson, PHARMD
• Cynthia Poire Mathews, ARNP

• Physical Therapist in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.