Michael James Connors, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1151019 Issued in TX

Practice address

14380 Marsh LN # 120
Addison, TX 75001-3879

Phone

(972) 942-2097

Fax

(972) 843-9217

NPI assigned

Mar 21, 2007

Last updated

Jan 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, AZ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.connors.p6@direct.athleticoltd.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Luna Care Physical Therapy LLC

  • Physical Therapist
  • Southlake, TX
  • NPI 1790309656
  Medicare reassignment Care Compare group NPD
• Sportherapy LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1386132132

  Physical Therapist

  Medicare reassignment NPD
• Vista Rehab Partners LP

  dba Vista Physical Therapy

  • Physical Therapist
  • Melissa, TX
  • NPI 1770259293
  NPD
• Vista Rehab Partners, LP

  dba Vista Physical Therapy

  • Physical Therapist
  • Little Elm, TX
  • NPI 1457912214
  NPD
• Vista Rehab Partners, LP

  dba Vista Physical Therapy

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1710223318
  NPD
• Gateway Partners Inc

  dba Gateway Physical Therapy

  • Physical Therapist
  • Keller, TX
  • NPI 1902183643
  NPD (past)
• Sportherapy Southwest, PC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Fort Worth, TX
  • NPI 1801812698

  Physical Therapist

  NPD (past)
• Vista Rehab Partners, LP

  dba Vista Physical Therapy

  • Physical Therapist
  • Prosper, TX
  • NPI 1659716462
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1184749665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6250",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14380 MARSH LN # 120",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013879",
            "telephone_number": "972-942-2097",
            "fax_number": "972-843-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018053",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1151019",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01239900",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT018053",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "841T78",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214442001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concentra Primary Care PA (Concentra Primary Care)
• Concentra Primary Care PA (Concentra Primary Care)
• Concentra Worksite of Arizona, PA (Aetna Wellness Works Center)
• Concentra Worksite of Arizona, PA (Aetna Welness Works Center)
• Concentra Worksite of California, a Medical Corporation
• Robert Contreras, M.D.
• Stacy Contreras
• Gwenelyn Cook
• Robbie Michelle Cook
• Morgan Goddard Cooper

• Physical Therapist in Addison, TX
• Providers in Addison, 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 15, 2020; 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.

Verify at the official NPI Registry.