Individual provider Active NPI

John Caleb McGough, PT, DPT

  • Physical Therapist
  • Frisco, TX
National Provider Identifier
1508620592
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1388567 Issued in TX
Practice address
5480 FM 423 Ste 2100
Frisco, TX 75036-7914
Phone
(214) 494-4643
Fax
(214) 494-4654
NPI assigned
Feb 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1388567 TX Primary

Addresses

Primary practice location

5480 FM 423 Ste 2100
Frisco, TX 75036-7914

Mailing address

5480 FM 423 Ste 2100
Frisco, TX 75036-7914
Phone (214) 494-4643

Other names 1

  • John Caleb McGough Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1388567TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Physical Therapy, LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

5480 FM 423
Ste 2100
Frisco, TX 75036
Phone (214) 494-4643

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1508620592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 FM 423 STE 2100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750367914",
            "telephone_number": "214-494-4643",
            "fax_number": "214-494-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 FM 423 STE 2100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750367914",
            "telephone_number": "214-494-4643",
            "fax_number": "214-494-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOUGH",
        "first_name": "JOHN",
        "middle_name": "CALEB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1388567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "MCGOUGH",
            "middle_name": "CALEB",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.