Organization Active NPI

Watermark Physical Therapy PC

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1659303246
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WATERMARK PHYSICAL THERAPY PC
Practice address
2845 Parkwood Blvd
Suite 200
Plano, TX 75093-4574
Phone
(972) 378-6868
Fax
(214) 279-0738
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chrissy McCullough, PT
Title
Co-Owner/Physical Therapist
Phone
(972) 378-6868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2845 Parkwood Blvd
Suite 200
Plano, TX 75093-4574

Mailing address

2845 Parkwood Blvd
Suite 200
Plano, TX 75093-4574
Phone (972) 378-6868

National Provider Directory

National Provider Directory

Locations

751 Hebron Pkwy
Ste 330
Lewisville, TX 75057
Phone (214) 488-9300

2845 Parkwood Blvd
Ste 200
Plano, TX 75093
Phone (214) 507-5446

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659303246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 PARKWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934574",
            "telephone_number": "972-378-6868",
            "fax_number": "214-279-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 PARKWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934574",
            "telephone_number": "972-378-6868",
            "fax_number": "214-279-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMARK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "CHRISSY",
        "authorized_official_title_or_position": "CO-OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "972-378-6868",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.