Active NPI
Jill McKay, PT
- Physical Therapist
- Merchantville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00654200
- Practice address
- 30 W Maple Ave
Merchantville, NJ 08109-5104 - Phone
- (856) 661-0200
- Fax
- (856) 661-0204
- NPI assigned
- Apr 4, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 40QA00654200 | NJ | Primary |
Addresses
Primary practice location
30 W Maple Ave
Merchantville, NJ 08109-5104
Mailing address
14 Parke Place Blvd
Suite D
Sewell, NJ 08080-2661
Phone (856) 256-8393
Other practice location 1
14 Parke Place Blvd
Suite D
Sewell, NJ 08080-2661
Phone (856) 256-8393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Route 70
Suite 19
Medford, NJ 08055-2355
Phone (609) 714-3378
30 W Maple Ave
Merchantville, NJ 08109-5104
Phone (856) 661-0200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therasport Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Ipta Clinical, LLC | Physical Therapist | Current | Accepting new patients |
| 3 Dimensional Physical Therapy - Pelvic Health LLC | Physical Therapist | Past | Accepting new patients |
Locations
175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750
30 W Maple Ave
Merchantville, NJ 08109
Phone (856) 661-0200
14 Parke Place Blvd
Ste D
Sewell, NJ 08080
Phone (856) 256-8393
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Sewell, NJ
- NPI 1649486515
Physical Therapist
-
- Physical Therapist
- Medford, NJ
- NPI 1275348500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1942543202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 PARKE PLACE BLVD",
"address_2": "SUITE D",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802661",
"telephone_number": "856-256-8393",
"fax_number": "856-256-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W MAPLE AVE",
"city": "MERCHANTVILLE",
"state": "NJ",
"postal_code": "081095104",
"telephone_number": "856-661-0200",
"fax_number": "856-661-0204"
}
],
"practiceLocations": [
{
"address_1": "14 Parke Place Blvd",
"address_2": "Suite D",
"address_purpose": "LOCATION",
"city": "Sewell",
"state": "NJ",
"postal_code": "080802661",
"country_code": "US",
"telephone_number": "856-256-8393",
"fax_number": "856-256-8390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKAY",
"first_name": "JILL",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-04",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00654200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merchantville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.