Individual provider Active NPI

Brindha Thirunavukkarasu, PT

  • Physical Therapist
  • McKinney, TX
National Provider Identifier
1699253104
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1079549 Issued in TX
Practice address
6850 TPC Dr Ste 116
McKinney, TX 75070-3145
Phone
(972) 838-1635
Fax
(972) 838-1634
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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 1079549 TX Primary

Addresses

Primary practice location

6850 TPC Dr Ste 116
McKinney, TX 75070-3145

Mailing address

4109 Marissa LN
Plano, TX 75024-3701
Phone (214) 681-4017

Other practice location 1

2800 W 15th St
Plano, TX 75075-7526
Phone (972) 612-9000

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
1079549TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1699253104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 MARISSA LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243701",
            "telephone_number": "214-681-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 TPC DR STE 116",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703145",
            "telephone_number": "972-838-1635",
            "fax_number": "972-838-1634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750757526",
            "country_code": "US",
            "telephone_number": "972-612-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIRUNAVUKKARASU",
        "first_name": "BRINDHA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1079549",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 6, 2018; 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.