Summit Neurodiagnostics, LLC

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

Legal business name

SUMMIT NEURODIAGNOSTICS, LLC

Practice address

2414 Bowie LN
Grapevine, TX 76051-8025

Phone

(817) 657-4291

NPI assigned

May 5, 2022

Organization subpart

No

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

Authorized official

Name

Scott McCauley, DPTNPI 1104072065

Title

Co-Owner

Phone

(970) 691-3504

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Scott McCauley, DPT, ECS

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1104072065

  Electrophysiology, Clinical

  NPD Authorized official

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1396480190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 BOWIE LN",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518025",
            "telephone_number": "817-657-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 BOWIE LN",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518025",
            "telephone_number": "817-657-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT NEURODIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "970-691-3504",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie@summitneurodiagnostics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2414 Bowie Ln",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760518025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Strauss, MA, LPC
• Akilah Marie Stribling
• Beverly June Stubblefield, LPC, LMFT, LCDC
• Casey Robert Stuhlman, MD
• Celia Rosen Sugg, LCSW
• Saira A Sundrani, BCBA
• Sunrise Eyecare
• Sunrise Point Counseling Center, PLLC
• Superior Pediatrics
• Surgical Associates of the Mid-Cities PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.