The Knead Physical Medicine P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE KNEAD PHYSICAL MEDICINE P.A.

Doing business as

Modoma

Practice address

897 N Macarthur Blvd
Suite 110
Coppell, TX 75019-2705

Phone

(469) 304-3443

Fax

(469) 304-3443

NPI assigned

Mar 6, 2017

Last updated

Mar 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grady Murphy Jr., M.D.

Title

Owner

Phone

(469) 304-3443

Specialties & licenses 1

Addresses

Other names 1

• Modoma Doing business as

Tax ID family

Modoma3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Modoma Medmassage, LLC

  • Family Medicine Physician
  • Frisco, TX
  • NPI 1508293382
  NPD tax ID
• The Knead Physical Medicine, PA

  • Massage Therapist
  • Farmers Branch, TX
  • NPI 1174062608
  NPD tax ID

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1710427059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 PRESTON RD",
            "address_2": "SUITE 100A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348597",
            "telephone_number": "469-304-3443",
            "fax_number": "469-304-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 N MACARTHUR BLVD",
            "address_2": "SUITE 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192705",
            "telephone_number": "469-304-3443",
            "fax_number": "469-304-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KNEAD PHYSICAL MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "GRADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-304-3443",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texas Gonstead, LLC
• Texas Health Urgent Care (Texas Health Breeze Urgent Care)
• Texas Internal Medicine Associates PLLC
• Texas Specific Gonstead Chiropractic Inc
• Babu Varkeychan Tharappel, PHARM D
• The Massage Therapist, PLLC
• Divya P Thomas, MD
• Mini Thomas, M.D.
• Sophy Ann Thomas, SLP-CCC
• Andrew Michael Thompson, PHARM.D.

• Family Medicine Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.