Individual provider Active NPI

Paul McNally

  • Physical Therapist
  • Rincon, GA
National Provider Identifier
1952847816
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012731 Issued in GA
Practice address
201 Business Park Dr
Rincon, GA 31326-5583
Phone
(877) 826-1509
NPI assigned
Jan 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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 PT012731 GA Primary

Addresses

Primary practice location

201 Business Park Dr
Rincon, GA 31326-5583

Mailing address

201 Business Park Dr
Rincon, GA 31326-5583
Phone (877) 826-1509

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170602001389 GA Practitioner - Physical Therapist in Private Practice 0547537144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optim Orthopedics LLCGroup PAC ID 9931427002, 101 clinicians

Practice addresses (Care Compare)

210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012731GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optim Orthopedics, LLC CurrentSince Feb 1, 2021 Accepting new patients
Optim Orthopedics, LLC Current Accepting new patients
Optim Orthopedics, LLC CurrentSince Feb 1, 2021 Accepting new patients
Optim Orthopedics, LLC Past Accepting new patients
Optim Orthopedics, LLC PastSince Oct 6, 2019 Accepting new patients

Locations

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

810 Towne Park Dr
Ste 200
Rincon, GA 31326
Phone (912) 826-2533

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

3301 E 1st St
#B
Vidalia, GA 30474
Phone (912) 537-0888

Interoperability endpoints

  • Direct secure messaging: paul.mcnally.1@16403.direct.athenahealth.com

Organizations & group practices 5

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": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1952847816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BUSINESS PARK DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265583",
            "telephone_number": "877-826-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BUSINESS PARK DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265583",
            "telephone_number": "877-826-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNALLY",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.