MTX Training System-Southlake, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MTX TRAINING SYSTEM-SOUTHLAKE, LLC

Practice address

2870 Market Loop
Southlake, TX 76092-9145

Phone

(945) 249-6995

NPI assigned

Jun 20, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Chad Marr

Title

Owner / Director

Phone

(945) 249-6995

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1508600941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 MARKET LOOP",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929145",
            "telephone_number": "945-249-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 MARKET LOOP",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929145",
            "telephone_number": "945-249-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTX TRAINING SYSTEM-SOUTHLAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MARR",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "945-249-6995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Moser, COTA
• Richard Bradley Moss, DDS, PLLC
• Pooya Motaghedi
• Kael Moulton, D.C.
• John Mouser
• Esther Mugwanya
• Courtney Hopkins Mullaney, CCC-SLP
• Robert P. Mullen, LPC-S
• Lakshmi Munuganti, PT
• Patricia C Murphy Rae, LCSW

• Physical Therapy Clinic/Center in Southlake, TX
• Providers in Southlake, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.