Amanda M Meusborn

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

1264195 Issued in TX

Practice address

3325 Pate Way
Anna, TX 75409-8459

Phone

(972) 838-2602

NPI assigned

Mar 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pate Rehabilitation Endeavors, LLC

  • Rehabilitation Clinic/Center
  • Irving, TX
  • NPI 1083738892
  NPD (past)

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1124655345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 PINE CT",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281292",
            "telephone_number": "417-466-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 PATE WAY",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754098459",
            "telephone_number": "972-838-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEUSBORN",
        "first_name": "AMANDA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1264195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Jean McMillan, MED, LPC
• Elizabeth Marie McNeal-Caplan, BSN RN
• Medical City Surgery Center North Texas, LLC
• Andrew Melonakos
• Charlene Foster Merritt, BS, RPH
• Amanfa Miller
• Melissa R Miller, RD, RDN, LD
• Missy and Clark Miller LLC
• Melissa Louise Mitchell, MSN, APRN, FNP-C
• Miles Mock, OTR/L

• Neurology Physical Therapist in Anna, TX
• Providers in Anna, TX by specialty
• Neurology Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.