Nathaniel McMahan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18427 Issued in MA

Practice address

165 Main St Unit 209
Medway, MA 02053

Phone

(508) 533-5778

Fax

(508) 533-5780

NPI assigned

Sep 24, 2008

Last updated

Sep 18, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sport Life Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Holliston, MA
  • NPI 1104427665
  NPD Authorized official
• Mass Sport & Spine, Inc.

  • Physical Therapist
  • Walpole, MA
  • NPI 1447237755
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1801046073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD STE PROEX",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "631-359-5859",
            "fax_number": "631-396-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST UNIT 209",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "02053",
            "telephone_number": "508-533-5778",
            "fax_number": "508-533-5780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Main St Unit 209",
            "address_purpose": "LOCATION",
            "city": "Medway",
            "state": "MA",
            "postal_code": "02053",
            "country_code": "US",
            "telephone_number": "508-533-5778",
            "fax_number": "508-533-5780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "NATHANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Loria, N.P.
• Gillian Magni
• Tracy Jill Marino, NP
• John Bloch Markoff, MSW
• Linda C. McKinnon, P.T.
• Patrick R McSweeney, M.D.
• Sean Christopher McSweeney, CNP
• Medway Country Manor Inc (Generations Outpatient Wellness & Rehab - Occupational Therapy)
• Medway Country Manor, Inc. (Medway Country Manor Skilled Nursing & Rehabilitation)
• Medway Country Manor, Inc. (Generations Outpatient Wellness & Rehabilitation Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.