Active NPI
Paul McNally
- Physical Therapist
- Rincon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012731
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT012731 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Past | 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
- 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.
-
dba Optim Orthopedics
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1780077982
-
- Orthopaedic Surgery Physician
- Claxton, GA
- NPI 1033676515
-
dba Optim Orthopedics
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
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.