NPIMap

Organization Active NPI

Meredith S. Tittle, P.T., LLC

Doing business as S2S Functional Performance

  • Physical Therapy Clinic/Center
  • Flower Mound, TX
National Provider Identifier
1245553395
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MEREDITH S. TITTLE, P.T., LLC
Doing business as
S2S Functional Performance
Practice address
4040 Bryce LN
Flower Mound, TX 75077-7038
Phone
(940) 241-1215
Fax
(940) 455-2041
NPI assigned
Mar 3, 2010
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Meredith Schuck Tittle, PTNPI 1538205836
Title
Owner
Phone
(940) 241-1215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary
Orthopedic Physical Therapist 2251X0800X
Occupational Therapist 225X00000X

Addresses

Primary practice location

4040 Bryce LN
Flower Mound, TX 75077-7038

Mailing address

4040 Bryce LN
Flower Mound, TX 75077-7038
Phone (940) 241-1215

Other practice location 1

8195 Custer Road
Suite 100
Frisco, TX 75035
Phone (940) 241-1215

Other names 2

  • S2S Functional Performance Doing business as
  • Meredith S. Tittle P.T., P.C. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170321001966 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9830491596 Receives reassigned benefits from 36 practitioners
Practice locations: Frisco, TX; Flower Mound, TX

National Provider Directory

National Provider Directory

Locations

2652 FM 407 E
Ste 115
Bartonville, TX 76226
Phone (940) 241-1215

8195 Custer Rd
Ste 100
Frisco, TX 75035
Phone (940) 241-1215

4040 Bryce Ln
Lewisville, TX 75077
Phone (940) 241-1215

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1245553395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 BRYCE LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750777038",
            "telephone_number": "940-241-1215",
            "fax_number": "940-455-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BRYCE LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750777038",
            "telephone_number": "940-241-1215",
            "fax_number": "940-455-2041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8195 Custer Road",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "75035",
            "country_code": "US",
            "telephone_number": "940-241-1215",
            "fax_number": "940-455-2041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEREDITH S. TITTLE, P.T., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "TITTLE",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "SCHUCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-241-1215",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S2S Functional Performance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meredith S. Tittle P.T., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.