NPIMap

Organization Active NPI

Physical Therapy of Melissa, PLLC

  • Physical Therapy Clinic/Center
  • Melissa, TX
National Provider Identifier
1740595776
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1169447 Issued in TX
Legal business name
PHYSICAL THERAPY OF MELISSA, PLLC
Practice address
3201 McKinney St
Melissa, TX 75454-9762
Phone
(972) 837-4450
Fax
(972) 837-4451
NPI assigned
Aug 14, 2010
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Nathaniel Christadoss, PTNPI 1568550861
Title
Physical Therapist
Phone
(972) 837-4450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1169447 TX Primary

Addresses

Primary practice location

3201 McKinney St
Melissa, TX 75454-9762

Mailing address

3201 McKinney St
Melissa, TX 75454-9762
Phone (972) 837-4450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101229000028 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274721766 Receives reassigned benefits from 9 practitioners
Practice locations: Melissa, TX

National Provider Directory

National Provider Directory

Locations

2212 Sam Rayburn Hwy
Ste 200
Melissa, TX 75454
Phone (972) 837-4450

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1740595776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 MCKINNEY ST",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549762",
            "telephone_number": "972-837-4450",
            "fax_number": "972-837-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 MCKINNEY ST",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549762",
            "telephone_number": "972-837-4450",
            "fax_number": "972-837-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF MELISSA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-14",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "CHRISTADOSS",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "972-837-4450",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1169447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melissa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.