NPIMap

Organization Active NPI

Knead Physical Medicine PA

  • Pain Medicine (Anesthesiology) Physician
  • Frisco, TX
National Provider Identifier
1043665367
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
KNEAD PHYSICAL MEDICINE PA
Practice address
4944 Preston Rd
Ste 100a
Frisco, TX 75034-8597
Phone
(469) 304-3443
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Christina Ponce de Leon
Title
Executive Administrator
Phone
(214) 448-1066

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary ManagerGroup: 193200000X MULTI-SPECIALTY GROUP 132700000X
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

4944 Preston Rd
Ste 100a
Frisco, TX 75034-8597

Mailing address

4944 Preston Rd
Ste 100a
Frisco, TX 75034-8597
Phone (469) 304-3443

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1043665367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 PRESTON RD",
            "address_2": "STE 100A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348597",
            "telephone_number": "469-304-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 PRESTON RD",
            "address_2": "STE 100A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348597",
            "telephone_number": "469-304-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEAD PHYSICAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "PONCE DE LEON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-448-1066",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.