Individual provider Active NPI

Paul Lyle McMahon Jr., PT, DPT

  • Physical Therapist
  • Sioux City, IA
National Provider Identifier
1790494052
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
132467 Issued in IA
Practice address
3409 Singing Hills Blvd
Sioux City, IA 51106
Phone
(712) 202-0702
NPI assigned
Nov 15, 2022
Reactivated
Aug 20, 2025
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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 132467 IA Primary

Addresses

Primary practice location

3409 Singing Hills Blvd
Sioux City, IA 51106

Mailing address

3409 Singing Hills Blvd
Sioux City, IA 51106
Phone (712) 202-0702

Other practice location 1

1110 W Omaha St # 3
Rapid City, SD 57701-8097
Phone (605) 721-5950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260225003200 IA Practitioner - Physical Therapist in Private Practice 1759862949 Reassigns benefits to 1 organization
I20260512001604 SD Practitioner - Physical Therapist in Private Practice 1759862949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapid City Physical Therapy IncGroup PAC ID 3870588437, 7 clinicians

Practice addresses (Care Compare)

1110 W Omaha St
Suite 3
Rapid City, SD 57701-8097
Phone (605) 721-5950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132467IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Physical Therapy Center of Sturgis, PC Physical Therapist CurrentSince Jun 1, 2026 Accepting new patients
Rapid City Physical Therapy, Inc CurrentSince Jun 1, 2026 Accepting new patients
HS Occupational Wellness LLC Physical Therapist CurrentSince Dec 29, 2025 Accepting new patients

Locations

3100 S Lakeport St
Sioux City, IA 51106
Phone (712) 277-4442

3409 Singing Hills Blvd
Sioux City, IA 51106
Phone (712) 202-0702

101 Tower Rd
Ste 210
Dakota Dunes, SD 57049
Phone (605) 217-4330

1110 W Omaha St
Ste 3
Rapid City, SD 57701
Phone (605) 721-5950

3410 S Western Ave
Sioux Falls, SD 57105
Phone (605) 271-9980

2707 Lazelle St
Ste 2
Sturgis, SD 57785

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1790494052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 SINGING HILLS BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51106",
            "telephone_number": "712-202-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 SINGING HILLS BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51106",
            "telephone_number": "712-202-0702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 W Omaha St # 3",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577018097",
            "country_code": "US",
            "telephone_number": "605-721-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "PAUL",
        "middle_name": "LYLE",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "deactivation_date": "2025-06-13",
        "reactivation_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "132467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.