Individual provider Active NPI

Jon Poe, PT ATC

  • Physical Therapist
  • McKinney, TX
National Provider Identifier
1619990983
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1128155 Issued in TX
Practice address
6051 Alma Rd
McKinney, TX 75070-2139
Phone
(972) 359-0534
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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 1128155 TX Primary

Addresses

Primary practice location

6051 Alma Rd
McKinney, TX 75070-2139

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-8930

Other identifiers 2

IdentifierTypeStateIssuer
84599TOtherBCBS
8T7664OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100211000503 TX Practitioner - Physical Therapist in Private Practice 8022052539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Physical Therapy, LLCGroup PAC ID 0648583344, 95 clinicians

Practice addresses (Care Compare)

104 E US Hwy 80 180
Peak PT Forney
Forney, TX 75126-8615
Phone (972) 564-3390

1201 W McDermott Dr
108 Peak PT Allen TX
Allen, TX 75013-6393
Phone (469) 656-1343

125 W Interstate 30
Suite F
Royse City, TX 75189-7513
Phone (469) 513-9310

13901 Midway Rd
Suite 106
Farmers Branch, TX 75244-4388
Phone (214) 427-5772

176 N Main St
Van Alstyne, TX 75495-9700
Phone (903) 482-9741

204 Medical Dr
Suite 160
Sherman, TX 75092-6374
Phone (903) 892-4800

3100 Independence Pkwy
Suite 321
Plano, TX 75075-1997
Phone (469) 626-1007

3222 S Main St
Suite 140
Lindale, TX 75771-7879
Phone (903) 883-6450

3926 Teasley LN
Unit 105
Denton, TX 76210-8475
Phone (940) 323-0441

5250 N Tarrant Pkwy
Suite 132
Fort Worth, TX 76137-5762
Phone (682) 900-4026

5750 W Vickery Blvd
Suite 110
Fort Worth, TX 76107-7448
Phone (682) 382-4070

8131 Gateway Dr
Suite 600
Argyle, TX 76226-5753
Phone (940) 230-2791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1128155TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2015 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2015 Accepting new patients
Peak Physical Therapy and Sports Medicine Center PLLC Physical Therapist PastSince Jun 4, 2007 Accepting new patients
Peak Physical Therapy and Rehabilitation LLC Physical Therapist Past Accepting new patients
Peak Physical Therapy & Sports Medicine of Wylie Physical Therapist PastSince Mar 1, 2005 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

6045 Alma Rd
Ste 320
McKinney, TX 75070
Phone (214) 495-0763

3935 S Lake Forest Dr
Ste 120
McKinney, TX 75070
Phone (214) 495-0763

Organizations & group practices 6

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1619990983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-8930",
            "fax_number": "423-285-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 ALMA RD",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702139",
            "telephone_number": "972-359-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "JON",
        "credential": "PT ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1128155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84599T",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T7664",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.