Active NPI
Grant Robert Stophlet, PT, DPT
- Physical Therapist
- McKinney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1265208
- Practice address
- 3935 S Lake Forest Dr Ste 120
McKinney, TX 75070-1425 - Phone
- (214) 495-0763
- NPI assigned
- Sep 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1265208 | TX | Primary |
Addresses
Primary practice location
3935 S Lake Forest Dr Ste 120
McKinney, TX 75070-1425
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 541-5492
Other practice location 1
200 Beauchamp Ste 112
Princeton, TX 75407-9157
Phone (469) 378-3464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3935 S Lake Forest Dr
Suite 120
McKinney, TX 75070-1425
Phone (214) 495-0763
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1265208 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Peak Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390
3935 S Lake Forest Dr
Ste 120
McKinney, TX 75070
Phone (214) 495-0763
200 Beauchamp
Ste 112
Princeton, TX 75407
Phone (469) 378-3464
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Prosper, TX
- NPI 1700271913
-
- Physical Therapist
- Van Alstyne, TX
- NPI 1104211317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1053780650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-541-5492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3935 S LAKE FOREST DR STE 120",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750701425",
"telephone_number": "214-495-0763"
}
],
"practiceLocations": [
{
"address_1": "200 Beauchamp Ste 112",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "TX",
"postal_code": "754079157",
"country_code": "US",
"telephone_number": "469-378-3464",
"fax_number": "469-378-3697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOPHLET",
"first_name": "GRANT",
"middle_name": "ROBERT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-24",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1265208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.