Physiteam Health LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSITEAM HEALTH LLC

Practice address

2517 Russwood Dr
Flower Mound, TX 75028-2346

Phone

(214) 284-8638

Fax

(833) 606-1315

NPI assigned

Feb 18, 2022

Organization subpart

No

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

Authorized official

Name

Mr. John Keegan McConnell, PTNPI 1144299660

Title

Owner/Physical Therapist

Phone

(214) 284-8638

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• John Keegan McConnell, PT

  • Physical Therapist
  • Flower Mound, TX
  • NPI 1144299660
  Medicare reassignment NPD Authorized official
• Kristen J. McConnell, PT

  • Physical Therapist
  • Flower Mound, TX
  • NPI 1386828200
  NPD

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1245985175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 RUSSWOOD DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282346",
            "telephone_number": "214-284-8638",
            "fax_number": "833-606-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 RUSSWOOD DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282346",
            "telephone_number": "214-284-8638",
            "fax_number": "833-606-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSITEAM HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEEGAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "214-284-8638",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Souksavanh Lisa Phanthavong, PA-C
• Phase Seminars L.L.C.
• Alexandr Philip, LPC
• Bincy Philip
• Priya M Philip, MD
• John Lance Pickard, MD
• Jessica Pickering, PT
• Lisa Yvette Pierce, MD
• Logan Chase Pierce, PT, DPT
• Tara Pierce, LPC

• Physical Therapy Clinic/Center in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.