Individual provider Active NPI

Melissa Ann Benefiel, PT,DPTATC

  • Physical Therapist
  • McKinney, TX
National Provider Identifier
1194075812
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1241450 Issued in TX
Practice address
5305 W University Dr
McKinney, TX 75071-7824
Phone
(972) 529-9292
Fax
(972) 529-9293
NPI assigned
Sep 11, 2012
Last updated
Apr 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1241450 TX Primary
Physical Therapist 225100000X PTH6599 AL
Physical Therapist 225100000X 9217 TN

Addresses

Primary practice location

5305 W University Dr
McKinney, TX 75071-7824

Mailing address

5305 W University Dr
McKinney, TX 75071-7824
Phone (972) 529-9292

Other names 1

  • Melissa Ann Mitchell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150505002016 TX Practitioner - Physical Therapist in Private Practice 7416106547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fyzio Group LLCGroup PAC ID 0840666830, 7 clinicians

Practice addresses (Care Compare)

2626 Stonebrook Pkwy
Suite 500
Frisco, TX 75034-1394
Phone (214) 257-8740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9217TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzio Group LLC Physical Therapist CurrentSince Mar 30, 2023 Accepting new patients
Burke PT Group LLC Physical Therapist CurrentSince Mar 30, 2023 Accepting new patients
Huffman Rehab PLLC Physical Therapist Past Accepting new patients

Locations

2626 Stonebrook Pkwy
Ste 500
Frisco, TX 75034
Phone (214) 257-8740

1815 W Campbell Rd
Ste 2
Garland, TX 75044
Phone (972) 782-2423

1400 N Coit Rd
Ste 605
McKinney, TX 75071
Phone (214) 257-8740

2144 N Lake Forest Dr
#200
McKinney, TX 75071
Phone (972) 782-2353

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1194075812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 W UNIVERSITY DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717824",
            "telephone_number": "972-529-9292",
            "fax_number": "972-529-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 W UNIVERSITY DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717824",
            "telephone_number": "972-529-9292",
            "fax_number": "972-529-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEFIEL",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "PT,DPTATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1241450",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6599",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MITCHELL",
            "middle_name": "ANN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 15, 2015; 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.