NPIMap

Organization Active NPI

McNerney & Associates, P.a.

  • Physical Therapy Clinic/Center
  • Ellicott City, MD
National Provider Identifier
1992830392
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MCNERNEY & ASSOCIATES, P.A.
Practice address
5024 Dorsey Hall Dr
Suite 103
Ellicott City, MD 21042-7711
Phone
(410) 740-1047
Fax
(410) 740-2280
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael J McNerney, PT, DPTNPI 1154481596
Title
Physical Therapist
Phone
(410) 740-1047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5024 Dorsey Hall Dr
Suite 103
Ellicott City, MD 21042-7711

Mailing address

5024 Dorsey Hall Dr
Suite 103
Ellicott City, MD 21042-7711
Phone (410) 740-1047

Other names 2

  • McNerney & Associates, P.A. Doing business as
  • Violand &McNerney, P.A. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040922000409 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082682539 Receives reassigned benefits from 16 practitioners
Practice locations: Ellicott City, MD

National Provider Directory

National Provider Directory

Locations

5024 Dorsey Hall Dr
Ste 103
Ellicott City, MD 21042
Phone (410) 740-1047

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1992830392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 DORSEY HALL DR",
            "address_2": "SUITE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427711",
            "telephone_number": "410-740-1047",
            "fax_number": "410-740-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 DORSEY HALL DR",
            "address_2": "SUITE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427711",
            "telephone_number": "410-740-1047",
            "fax_number": "410-740-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNERNEY & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MCNERNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "410-740-1047",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McNerney & Associates, P.A.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Violand &McNerney, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.