Individual provider Active NPI

Mary E McCullough, PT

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1881636389
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016445 Issued in PA
Practice address
2631 W 8TH St
Erie, PA 16505-4034
Phone
(814) 464-0627
Fax
(814) 464-0629
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2026

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 PT016445 PA Primary

Addresses

Primary practice location

2631 W 8TH St
Erie, PA 16505-4034

Mailing address

328 Nevada Dr
Erie, PA 16505-2130
Phone (814) 790-5745

Other practice location 1

3266 W 26th St
Erie, PA 16506-2508
Phone (814) 738-6670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040102000572 PA Practitioner - Physical Therapist in Private Practice 0840199469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Niagara Therapy LLCGroup PAC ID 9234282443, 15 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

2631 W 8TH St
Erie, PA 16505-4034
Phone (814) 464-0627

3266 W 26TH St
Suite 2
Erie, PA 16506-2508
Phone (814) 738-6670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Therapy L.L.C. CurrentSince Aug 4, 2019 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jun 4, 2026 Accepting new patients
Benchmark Therapy, Inc Physical Therapist Past Accepting new patients
Excel Physical Therapy Physical Therapist PastSince Sep 8, 2025 Accepting new patients
Anderson Physical Therapy Etc PC Physical Therapist PastSince Feb 17, 2014 Accepting new patients
Excel Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Excel Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Benchmark Therapy, Inc Past Accepting new patients
Benchmark Therapy, Inc. Past Accepting new patients

Locations

2631 W 8th St
Erie, PA 16505
Phone (814) 464-0627

3266 W 26th St
Ste 2
Erie, PA 16506
Phone (814) 738-6670

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1881636389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 NEVADA DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052130",
            "telephone_number": "814-790-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054034",
            "telephone_number": "814-464-0627",
            "fax_number": "814-464-0629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3266 W 26th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165062508",
            "country_code": "US",
            "telephone_number": "814-738-6670",
            "fax_number": "814-738-6689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; 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.