Active NPI
Megan June Mahoney, PT
- Physical Therapist
- Grand Canyon, AZ
National Provider Identifier
1871902536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11043PT
- Practice address
- 1 Clinic Rd.
Grand Canyon, AZ 86023 - Phone
- (928) 638-2551
- NPI assigned
- Aug 7, 2014
- Last updated
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11043PT | AZ | Primary |
Addresses
Primary practice location
1 Clinic Rd.
Grand Canyon, AZ 86023
Mailing address
301 S 7TH St
Williams, AZ 86046-2324
Phone (928) 635-7850
Other names 1
- Megan June Gaskill
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11043PT | AZ | MD | Physical Therapist |
| 11043 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1871902536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S 7TH ST",
"city": "WILLIAMS",
"state": "AZ",
"postal_code": "860462324",
"telephone_number": "928-635-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CLINIC RD.",
"city": "GRAND CANYON",
"state": "AZ",
"postal_code": "86023",
"telephone_number": "928-638-2551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "MEGAN",
"middle_name": "JUNE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11043PT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "GASKILL",
"middle_name": "JUNE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Grand Canyon, AZ
- El Rio Santa Cruz Neighborhood Health Center Inc (Elk Ridge Grand Canyon)
- Elk Ridge Grand Canyon Pharmacy
- Erinn E Gallagher, DO
- Mary Gdula, FNP
- Kamran Javadi, PA-C, MPH
- Thomas Martin, PT
- Dawn Mielke, MD
- National Park Service (Grand Canyon National Park)
- North Country Healthcare Inc.
- North Country Healthcare, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.