PK & K Therapies. LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PK & K THERAPIES. LLC

Practice address

3930 Naaman School Rd Ste D
Garland, TX 75040-0980

Phone

(469) 814-8126

Fax

(972) 905-5516

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Dawn Marie Gray, PT, DPT, CERT MDT

Title

Owner

Phone

(469) 814-8126

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• M3 PT Recharged Performance Doing business as
• M3 Physical Therapy Recharged Performance Doing business as

Locations

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1437790177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 NAAMAN SCHOOL RD STE D",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750400980",
            "telephone_number": "469-814-8126",
            "fax_number": "972-905-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 NAAMAN SCHOOL RD STE D",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750400980",
            "telephone_number": "469-814-8126",
            "fax_number": "972-905-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PK & K THERAPIES. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-814-8126",
        "authorized_official_credential": "PT, DPT, CERT MDT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "932233",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "1296763",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M3 PT Recharged Performance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M3 Physical Therapy Recharged Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.