Active NPI
Payton Madalyn McKinney, DPT
- Physical Therapist
- Granbury, TX
National Provider Identifier
1730754094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3126518
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
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
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 100
- Quality
- 93
- Improvement activities
- 40
- Cost
- 77.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3126518 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Physical Therapy, Inc | Multi-Specialty | Current | 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.
-
dba Freedom Physical Therapy
- Physical Therapy Assistant
- Granbury, TX
- NPI 1699716076
Multi-Specialty
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.