McCarthy Spine and Sport PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

070.006324 Issued in IL

Legal business name

MCCARTHY SPINE AND SPORT PC

Practice address

666 Dundee Rd
1903
Northbrook, IL 60062-2727

Phone

(847) 722-0457

Fax

(847) 919-4405

NPI assigned

Mar 18, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Mary Shannon McCarthy, PHYSICAL THERAPISTNPI 1811218597

Title

Owner/President

Phone

(847) 722-0457

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Shannon McCarthy, PT

  • Orthopedic Physical Therapist
  • Northbrook, IL
  • NPI 1811218597
  NPD (past) Authorized official

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1841532827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 BAR HARBOR TER",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624401",
            "telephone_number": "847-722-0457",
            "fax_number": "847-919-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD",
            "address_2": "1903",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622727",
            "telephone_number": "847-722-0457",
            "fax_number": "847-919-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCARTHY SPINE AND SPORT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-722-0457",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.006324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Mazza, OTD OTR/L
• Tracy L McCafferty, LCSW
• Christine McCall, LCSW, CADC
• Kanisha McCants
• Cloe Marie McCarron
• Mary Shannon McCarthy, PT
• Dominique McCree
• John McCue
• Holly Marie McDaniel, LPC
• Zachariah Andrew McFarland

• Orthopedic Physical Therapist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.