On-Site Physical Therapy and Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ON-SITE PHYSICAL THERAPY AND WELLNESS

Practice address

13797 French Creek LN
Frisco, TX 75035-0891

Phone

(469) 556-9335

NPI assigned

Sep 2, 2021

Organization subpart

No

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

Authorized official

Name

Maynard Dela Pena, DPTNPI 1417382383

Title

Owner/Ceo

Phone

(972) 468-1557

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maynard Dela Pena, DPT

  • Physical Therapist
  • Frisco, TX
  • NPI 1417382383
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1235807306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13797 FRENCH CREEK LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13797 FRENCH CREEK LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350891",
            "telephone_number": "469-556-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "DELA PENA",
        "authorized_official_first_name": "MAYNARD",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "972-468-1557",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Frisco, TX
• Providers in Frisco, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.