Individual provider Active NPI

Marc Austin Stoneburner

  • Physical Therapist
  • Allen, TX
National Provider Identifier
1235922444
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1406816 Issued in TX
Practice address
1101 Raintree Cir Ste 150
Allen, TX 75013-4957
Phone
(214) 509-0029
NPI assigned
May 28, 2025
Last updated
May 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1406816 TX Primary

Addresses

Primary practice location

1101 Raintree Cir Ste 150
Allen, TX 75013-4957

Mailing address

1101 Raintree Cir Ste 150
Allen, TX 75013-4957

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250613003463 TX Practitioner - Physical Therapist in Private Practice 4880105121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians

Practice addresses (Care Compare)

1101 Raintree Cir
Suite 150
Allen, TX 75013-4957
Phone (214) 509-0029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vista JV Partners LLC Physical Therapist CurrentSince Jun 9, 2025 Accepting new patients

Locations

1101 Raintree Cir
Ste 150
Allen, TX 75013
Phone (214) 383-9939

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

475 Elm St
Ste 200
Lewisville, TX 75057
Phone (945) 212-0050

Organizations & group practices 1

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": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1235922444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RAINTREE CIR STE 150",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RAINTREE CIR STE 150",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134957",
            "telephone_number": "214-509-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEBURNER",
        "first_name": "MARC",
        "middle_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1406816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.