Healthcare Provider Details

I. General information

NPI: 1679232649
Provider Name (Legal Business Name): FEI MCMAHON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2021
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 MOUNT AUBURN ST
CAMBRIDGE MA
02138-5597
US

IV. Provider business mailing address

1525 PINE KNOLL LN
MAMARONECK NY
10543-3131
US

V. Phone/Fax

Practice location:
  • Phone: 617-492-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number047719
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: