Individual provider Active NPI

Andrea Spencer Mahoney, P.T.

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1750481503
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 011527 Issued in OH
Practice address
431 Ohio Pike
Ste 108
Cincinnati, OH 45255-3372
Phone
(513) 528-3100
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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 PT 011527 OH Primary

Addresses

Primary practice location

431 Ohio Pike
Ste 108
Cincinnati, OH 45255-3372

Mailing address

431 Ohio Pike
Ste 108
Cincinnati, OH 45255-3372
Phone (513) 295-2964

Other identifiers 1

IdentifierTypeStateIssuer
2695794MedicaidOH

Other names 1

  • A Spencer Mahoney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 011527OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Physical Therapy Past Accepting new patients
Center for Physical Therapy Past Accepting new patients

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1750481503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE",
            "address_2": "STE 108",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553372",
            "telephone_number": "513-295-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE",
            "address_2": "STE 108",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553372",
            "telephone_number": "513-528-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "ANDREA",
        "middle_name": "SPENCER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 011527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2695794",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A",
            "last_name": "MAHONEY",
            "middle_name": "SPENCER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.