Provider Demographics
NPI:1831319896
Name:MCGRATH, JOHN EDWARD (MPT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:EDWARD
Last Name:MCGRATH
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MARCUS HOOK
Mailing Address - State:PA
Mailing Address - Zip Code:19061-4513
Mailing Address - Country:US
Mailing Address - Phone:610-859-8850
Mailing Address - Fax:610-859-7876
Practice Address - Street 1:674 UNIONVILLE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-4712
Practice Address - Country:US
Practice Address - Phone:610-925-4856
Practice Address - Fax:610-925-4859
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-009860L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30081693OtherKEYSTONE MERCY
PA001642527-0002Medicaid
DE1831319896OtherDPCI
306193OtherUNISON
PA3744679000OtherIBC
PA2123133OtherHIGHMARK PABS
PA30081693OtherKEYSTONE MERCY