Individual provider Active NPI

Payton Madalyn McKinney, DPT

  • Physical Therapist
  • Granbury, TX
National Provider Identifier
1730754094
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3126518 Issued in TX
Practice address
5310 Acton Hwy Ste 106
Granbury, TX 76049-3105
Phone
(137) 581-7326
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 3126518 TX Primary

Addresses

Primary practice location

5310 Acton Hwy Ste 106
Granbury, TX 76049-3105

Mailing address

5264 Fallworth CT
Fort Worth, TX 76133-5902
Phone (806) 778-4794

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809001455 TX Practitioner - Physical Therapist in Private Practice 0345644605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas Tech University Health Science Center School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Physical Therapy IncGroup PAC ID 4789609801, 8 clinicians

Practice addresses (Care Compare)

5310 Acton Hwy
Suite 106
Granbury, TX 76049-3105
Phone (817) 326-1375

Merit-based Incentive Payment System (MIPS)

Final score
90.49 of 100Reported as group
Quality
93
Improvement activities
40
Cost
77.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3126518TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy, Inc Multi-Specialty CurrentSince Jul 6, 2021 Accepting new patients

Locations

5310 Acton Hwy
Ste 106
Granbury, TX 76049
Phone (817) 326-1375

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1730754094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5264 FALLWORTH CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761335902",
            "telephone_number": "806-778-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 ACTON HWY STE 106",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760493105",
            "telephone_number": "137-581-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "PAYTON",
        "middle_name": "MADALYN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3126518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.