Organization Active NPI

MMC Therapy Enterprises, LLC

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1194022749
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MMC THERAPY ENTERPRISES, LLC
Practice address
3465 National Dr
Ste 115
Plano, TX 75025
Phone
(972) 410-5777
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Alexandra Dee McAnally
Title
Billing Manager
Phone
(469) 361-2303

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Rehabilitation Hospital Unit 273Y00000X

Addresses

Primary practice location

3465 National Dr
Ste 115
Plano, TX 75025

Mailing address

3465 National Dr Ste 115
Plano, TX 75025-1095
Phone (469) 361-2303

Other names 2

  • Champion Physical Therapy Doing business as
  • Cutting Edge Physical Therapy Sports and Life Performance Doing business as

National Provider Directory

National Provider Directory

Locations

3465 National Dr
Ste 115
Plano, TX 75025
Phone (214) 407-8200

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1194022749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 NATIONAL DR STE 115",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251095",
            "telephone_number": "469-361-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 NATIONAL DR",
            "address_2": "STE 115",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "972-410-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC THERAPY ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "MCANALLY",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "469-361-2303"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cutting Edge Physical Therapy Sports and Life Performance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cutting Edge Physical Therapy Sports and Life Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.