Advanced Physical Therapy, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

632910000 Issued in TX

Legal business name

ADVANCED PHYSICAL THERAPY, INC

Practice address

724 W Main St
Ste 180
Lewisville, TX 75067-3583

Phone

(972) 434-6024

Fax

(972) 434-2784

NPI assigned

Jun 21, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott Frederick McGough, PTNPI 1053322883

Title

Owner/Physical Therapist

Phone

(972) 434-6024

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Advanced Physical Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Physical Therapy, Inc

  • Hand Occupational Therapist
  • Lewisville, TX
  • NPI 1477794840
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Frederick McGough, PT

  • Orthopedic Physical Therapist
  • Lewisville, TX
  • NPI 1053322883
  Medicare reassignment Care Compare group NPD Authorized official
• Cody C Burns, PT

  • Orthopedic Physical Therapist
  • Lewisville, TX
  • NPI 1194736975
  Medicare reassignment Care Compare group NPD
• Marie Fischer, OTR

  • Occupational Therapist
  • Richardson, TX
  • NPI 1447524350
  NPD (past)
• Darren Harrison, PT

  • Physical Therapist
  • Little Elm, TX
  • NPI 1942604954
  NPD (past)
• Sheryl D Hecht Borgfeld, OT

  • Occupational Therapist
  • Austin, TX
  • NPI 1851302640
  NPD (past)
• Cheryl L. Moore, P.T.

  • Physical Therapist
  • Irving, TX
  • NPI 1336359561
  NPD (past)
• Lee Irvin Boehm, PT

  • Physical Therapist
  • Norfolk, VA
  • NPI 1497768766
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427054980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 W MAIN ST",
            "address_2": "STE 180",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673583",
            "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": "STE 180",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673583",
            "telephone_number": "972-434-6024",
            "fax_number": "972-434-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGOUGH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "972-434-6024",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "632910000",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "532820000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164329801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "181336500",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650019522",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF TX",
            "identifier": "0095DS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.