Edward Michael McTague, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1216710 Issued in TX

Practice address

204 S Interstate 35
Ste: 203
Georgetown, TX 78628-4126

Phone

(512) 863-7761

Fax

(512) 863-0973

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Sarol Ventures LLC

  • Physical Therapy Clinic/Center
  • Round Rock, TX
  • NPI 1871242032

  Physical Therapist

  NPD
• Texas Physical Therapy Specialists

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
  • NPI 1568049484
  NPD
• Texas Physical Therapy Specialists, Inc.

  • Physical Therapist
  • New Braunfels, TX
  • NPI 1689781338
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1609986546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 BELL NORTH DR",
            "address_2": "SUITE 2B",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543368",
            "telephone_number": "888-590-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S INTERSTATE 35",
            "address_2": "STE: 203",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284126",
            "telephone_number": "512-863-7761",
            "fax_number": "512-863-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTAGUE",
        "first_name": "EDWARD",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1216710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Lynne McMaster, PT
• Devyn McNamara
• Melanie Marie McQueen, AUD
• Hazel Leigh McRae, MA, LPC
• Abigail Nance McReynolds, PA-C
• Stephen Mark Meacham, D.D.S.
• Cody D Mead, D.O.
• Medical Billing Solutions, Inc.
• Jennifer Marie Medina, L.C.S.W.
• Medsur One Telemedicine LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.