Katelyn Marie McMahon, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7371840 Issued in ID

Practice address

1615 Curlew Dr
Ammon, ID 83406-4718

Phone

(208) 516-1204

Fax

(208) 516-1204

NPI assigned

Jan 19, 2022

Last updated

Dec 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wright Physical Therapy Limited PartnershipGroup PAC ID 1759612641, 52 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wright Physical Therapy Limited Partnership

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1730732025
  Medicare reassignment Care Compare group NPD
• Wright Physical Therapy Limited Partnership

  • Physical Therapist
  • Logan, UT
  • NPI 1770317455
  NPD
• Lifeclinic PA

  • Rehabilitation Chiropractor
  • St Louis Park, MN
  • NPI 1922416064

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1811649072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E STE 401",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013455",
            "telephone_number": "208-516-1204",
            "fax_number": "208-516-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 CURLEW DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064718",
            "telephone_number": "208-516-1204",
            "fax_number": "208-516-1204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Southdale Ctr",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357000",
            "country_code": "US",
            "telephone_number": "952-257-7158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12075",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "7371840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Everett McCoy
• Sungah McGary, LCSW
• Claire McIsaac, LSW
• Elizabeth Joy McKell, AU.D.
• Matthew P. McKnight
• Sarah McMurtrey, BS
• Devin Mark McOmber, LPC
• Tiffany McPherson, LCSW
• Dustin Medellin, BS
• Tamara Ann Melville, APRN

• Physical Therapist in Ammon, ID
• Providers in Ammon, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.