COLLEEN MCMAHON (NPI# 1407285281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407285281 |
| Entity Type | Individual |
| Full Name | COLLEEN MCMAHON |
| Practice Address |
2848 Middle Country Rd Lake Grove NY 11755-2104 |
| Mailing Address |
18 Hamilton Pl Lake Grove NY 11755-1915 |
| Practice Telephone | 6316488835 |
| Practice Fax Number | 6312852124 |
| Mailing Telephone | 5164546387 |
| Mailing Fax Number | 5164546303 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 004396 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356819049 | Colleen Mcmahon | Physical Therapist | 516 N Darlington St, West Chester, PA 19380-2308 | 2018-11-12 |
| 1922559012 | Colleen Mcmahon | Nurse Practitioner | 7826 Koko Pl, Diamondhead, MS 39525-3624 | 2016-10-24 |
| 1245633981 | Colleen Mcmahon | Occupational Therapist | 100 England St., Ashland, VA 23005 | 2014-10-08 |
| 1679061931 | Colleen Mary Mcmahon | Psychologist | 20220 Center Ridge Rd Ste 355, Rocky River, OH 44116-3596 | 2018-04-23 |
| Street Address |
2848 MIDDLE COUNTRY RD |
| City | LAKE GROVE |
| State | NY |
| Zip Code | 11755-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578053526 | Derek Bershad | Physical Therapist | 2848 Middle Country Rd, Lake Grove, NY 11755-2104 | 2018-05-15 |
| 1336647213 | Integrative Medicine of Brookhaven P.C. | Family Medicine | 2848 Middle Country Rd, Lake Grove, NY 11755-2104 | 2018-01-25 |
| 1669987947 | Joseph Daniel Bello | Physical Therapist | 2848 Middle Country Rd, Lake Grove, NY 11755-2104 | 2017-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699157586 | Roger Lee Kilfoil | Podiatrist | 20 Lindell Ave, Lake Grove, NY 11755 | 2015-06-26 |
| 1780070102 | Rebecca Au | Occupational Therapist | 43 Tulip Grove Drive, Lake Grove, NY 11755 | 2015-04-13 |
| 1154730943 | Nancy Allegretti | Counselor | 7 Oak Street, Lake Grove, NY 11755 | 2014-08-06 |
| 1548525074 | Dawnmarie Garrett | Case Manager/Care Coordinator | 62 Birch Street, Lake Grove, NY 11755 | 2012-07-11 |
| 1669775193 | Sonia Cristina Alonso Obregon | Speech-Language Pathologist | 6 Williams Blvd, Apto 1e, Lake Grove, NY 11755 | 2010-12-05 |
| 1932413135 | Melissa Ann Crimi | Registered Nurse | 2233 Nesconset Hwy Ste 207, Lake Grove, NY 11755 | 2010-07-29 |
| 1689991788 | Ny Theraapy Placemeny, Inc | General Acute Care Hospital | 162 Symphony Dr, Lake Grove, NY 11755 | 2010-04-28 |
| 1578886594 | Viviana Henrielte Florea | Nurse Practitioner | 3 Tower Street, First Floor, Lake Grove, NY 11755 | 2010-03-04 |
| 1194965897 | Susan Mary Byrne | Nurse Practitioner | 2780 Middle Country Road Suite 306, The Child and Family Wellness Center, Lake Grove, NY 11755 | 2009-02-20 |
| 1649449158 | Brian K. Berliner, O.d., P.C. | Optometrist | 64 Dsw Plaza, Lake Grove, NY 11755 | 2008-02-28 |
| Find all providers in zip 11755 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457842841 | Jaia Williams | Massage Therapist | 8 Arbor Field Way, Lake Grove, NY 11755-1835 | 2018-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | LAKE GROVE |
| Zip Code | 11755 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.