Active NPI
Amber M McCreary, PT, DPT
- Pediatric Physical Therapist
- Richardson, TX
National Provider Identifier
1326294703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1216836
- Practice address
- 320 Custer Road
Richardson, TX 75080 - Phone
- (972) 490-9055
- Fax
- (972) 490-9058
- NPI assigned
- Aug 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 34754 | CA | |
| Pediatric Physical Therapist | 2251P0200X | 1216836 | TX | Primary |
Addresses
Primary practice location
320 Custer Road
Richardson, TX 75080
Mailing address
320 Custer Rd
Richardson, TX 75080
Phone (972) 490-9055
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34754 | CA | MD | Pediatric Physical Therapist |
| 1216836 | TX | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Warren Center, Inc | Pediatrics | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1326294703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 CUSTER RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75080",
"telephone_number": "972-490-9055",
"fax_number": "972-490-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 CUSTER ROAD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75080",
"telephone_number": "972-490-9055",
"fax_number": "972-490-9058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCREARY",
"first_name": "AMBER",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-17",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "34754",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1216836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.