Ptac PLLC

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

Legal business name

PTAC PLLC

Practice address

456 E Sandy Lake Rd Ste 110
Coppell, TX 75019-2911

Phone

(972) 393-8067

Fax

(972) 638-8567

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Michelle Marchese

Title

Practice Administrator

Phone

(214) 205-4995

Specialties & licenses 1

Addresses

Practitioners 1

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

• Joseph Dan Bowen, PT, DPT

  • Orthopedic Physical Therapist
  • Flower Mound, TX
  • NPI 1326447848
  NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1396468047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 E SANDY LAKE RD STE 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192911",
            "telephone_number": "972-393-8067",
            "fax_number": "972-638-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 E SANDY LAKE RD STE 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192911",
            "telephone_number": "972-393-8067",
            "fax_number": "972-638-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTAC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "MARCHESE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-205-4995"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PRN Services, Inc.
• Shannon Profanchik
• Prohealth
• Elise Elaine Pruett, D.D.S.
• Janis Aveyard Pruett, FNP-BC
• Amanda Pucelli, OTR/L
• Questcare Medical Clinics PLLC
• Rodrigo Quevedo, PT, DPT
• Quinlan Chiropractic, PLLC
• John Patrick Quinlan, DC

• Physical Therapist in Coppell, TX
• Providers in Coppell, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.