Individual provider Active NPI

Jill McKay, PT

  • Physical Therapist
  • Merchantville, NJ
National Provider Identifier
1942543202
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00654200 Issued in NJ
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

Updated by the provider on Jan 31, 2022

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 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

Enrollment IDStateProvider typePAC IDDetails
I20140219000715 NJ Practitioner - Physical Therapist in Private Practice 9032348909 Reassigns benefits to 2 organizations

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
Ipta Clinical, LLCGroup PAC ID 0749456119, 126 clinicians

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

OrganizationSpecialtyStatusNew patients
Therasport Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2013 Accepting new patients
Ipta Clinical, LLC Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
3 Dimensional Physical Therapy - Pelvic Health LLC Physical Therapist PastSince Feb 23, 2025 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.

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.

Verify at the official NPI Registry.