MRS. ALISON L. MCCARTHY M.P.T.
NPI 1942448824
Physical Therapist in Ballwin, MO

NPI Status: Active since January 30, 2009

Contact Information

15425 MANCHESTER RD STE 28
BALLWIN, MO
ZIP 63011
Phone: (636) 220-6969
Fax: (636) 220-6973

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  • Individual
  • Female
  • Physical Therapist
  • Accepts Insurance
  • Medicare Quality Reporting

About ALISON MCCARTHY

This page provides the complete NPI Profile along with additional information for Alison Mccarthy, a provider established in Ballwin, Missouri with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1942448824 assigned on January 2009. The practitioner's primary taxonomy code is 225100000X with license number 2008036992 (MO). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1942448824
Provider Name
MRS. ALISON L. MCCARTHY M.P.T.
Other Name
ALISON L MCMILLAN MPT
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
15425 MANCHESTER RD STE 28 BALLWIN, MO 63011
Location Phone
(636) 220-6969
Location Fax
(636) 220-6973
Mailing Address
15425 MANCHESTER RD STE 28 BALLWIN, MO 63011
Mailing Phone
(636) 220-6969
Mailing Fax
(636) 220-6973
Is Sole Proprietor?
Yes
Enumeration Date
01-30-2009
Last Update Date
07-01-2019
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Location Map

Secondary Locations

  • 14450 S Outer 40
    Chesterfield, MO 63017
    (314) 434-6060
  • 14450 S Outer 40
    Chesterfield, MO 63017
    (314) 434-6060
  • 14450 S Outer 40
    Chesterfield, MO 63017
    (314) 434-6060

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2008036992
License State
MO
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 31
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Reviews for MRS. ALISON L. MCCARTHY M.P.T.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1942448824, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 4 → 8 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 8 + 4 + 1 + 6 + 8 + 4 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1942448824.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Physical Therapist
15425 MANCHESTER RD STE 28
BALLWIN, MO 63011
Physical Therapist
15425 MANCHESTER RD STE 28
BALLWIN, MO 63011
Physical Therapist
15425 MANCHESTER RD STE 28
BALLWIN, MO 63011
Physical Therapist
15425 MANCHESTER RD STE 28
BALLWIN, MO 63011
Physical Therapy Assistant
15425 MANCHESTER RD STE 28
BALLWIN, MO 63011
Physical Therapist
15425 MANCHESTER RD STE 28
BALLWIN, MO 63011
Physical Therapist
15425 MANCHESTER RD STE 28
BALLWIN, MO 63011
Physical Therapist
15425 MANCHESTER RD STE 28
BALLWIN, MO 63011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942448824, enumerated as an "individual" on January 30, 2009.

The provider is located at 15425 MANCHESTER RD STE 28 BALLWIN, MO 63011 and the phone number is (636) 220-6969.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.