John Keegan McConnell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1131001 Issued in TX

Practice address

2517 Russwood Dr
Flower Mound, TX 75028-2346

Phone

(214) 284-8638

Fax

(833) 606-1315

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Physiteam Health LLC

  • Physical Therapy Clinic/Center
  • Flower Mound, TX
  • NPI 1245985175

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1144299660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 RUSSWOOD DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282346",
            "telephone_number": "214-284-8638",
            "fax_number": "833-606-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 RUSSWOOD DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282346",
            "telephone_number": "214-284-8638",
            "fax_number": "833-606-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "JOHN",
        "middle_name": "KEEGAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1131001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86284T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julianne McClain, LCSW
• Bradley D. McClatchey, P.T.
• Kiamesha Michalle McClellan, D.D.S.
• Ashleigh McClendon, D.O.
• Sarina Janay McClinton, PT, DPT
• Kristen J. McConnell, PT
• Tiffany McCoy Moore, DC
• Olivia McCoy
• Madeline Elaine McCulloch
• Darbie Lynn McDonie, LMFT ASSOCIATE

• Physical Therapist in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.