Individual provider Active NPI

Bradley D. McClatchey, P.T.

  • Physical Therapist
  • Flower Mound, TX
National Provider Identifier
1326099359
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1107332 Issued in TX
Practice address
3301 Long Prairie Rd
Suite 125
Flower Mound, TX 75022-2702
Phone
(972) 874-7171
Fax
(972) 874-7110
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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 1107332 TX Primary

Addresses

Primary practice location

3301 Long Prairie Rd
Suite 125
Flower Mound, TX 75022-2702

Mailing address

3301 Long Prairie Rd
Suite 125
Flower Mound, TX 75022-2702
Phone (972) 874-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1326099359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 LONG PRAIRIE RD",
            "address_2": "SUITE 125",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222702",
            "telephone_number": "972-874-7171",
            "fax_number": "972-874-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LONG PRAIRIE RD",
            "address_2": "SUITE 125",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222702",
            "telephone_number": "972-874-7171",
            "fax_number": "972-874-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLATCHEY",
        "first_name": "BRADLEY",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1107332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.