Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Traci L. Mahoney, PA

Individual provider Physician Assistant · NPI 1376829184

Traci L. Mahoney, PA is a Physician Assistant in Charlottesville, Virginia. Qualified in 2011, 15 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
15
Licensed in
VA
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

545 Ray C Hunt Dr Ste 140
Charlottesville, VA 22903
Phone: (434) 243-0245
Fax: (434) 243-0242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Hickman Rd Ste 202, Charlottesville, VA 22911-3554 — (434) 326-5815

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110006132 (VA)

Record details

NPI number1376829184
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 25, 2011
Last updated in NPPESFebruary 18, 2023
Certification dateFebruary 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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