Advanced Physical Therapy, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15676 Issued in TX

Legal business name

ADVANCED PHYSICAL THERAPY, INC

Practice address

724 W Main St
Suite 180
Lewisville, TX 75067-3514

Phone

(972) 434-6024

Fax

(972) 434-2784

NPI assigned

Sep 22, 2009

Organization subpart

No

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

Authorized official

Name

Scott F McGough

Title

PT / Owner

Phone

(972) 434-6024

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1386978591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 W MAIN ST",
            "address_2": "SUITE 180",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673514",
            "telephone_number": "972-434-6024",
            "fax_number": "972-434-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W MAIN ST",
            "address_2": "SUITE 180",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673514",
            "telephone_number": "972-434-6024",
            "fax_number": "972-434-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "MCGOUGH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PT / OWNER",
        "authorized_official_telephone_number": "972-434-6024"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "15676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164329801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.