Organization Active NPI

Peak Physical Therapy and Sports Medicine Center of Richardson PLLC

  • Physical Therapist
  • Richardson, TX
National Provider Identifier
1780896605
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1035285 Issued in TX
Legal business name
PEAK PHYSICAL THERAPY AND SPORTS MEDICINE CENTER OF RICHARDSON PLLC
Doing business as
Innovative Physical Therapy
Practice address
1840 N Greenville Ave Ste 156
Richardson, TX 75081-1874
Phone
(972) 994-0434
Fax
(972) 994-0438
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Mr. Dennis Eugene McGinty, PTNPI 1982706024
Title
Therapist/Owner
Phone
(972) 994-0434

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1035285 TX Primary

Addresses

Primary practice location

1840 N Greenville Ave Ste 156
Richardson, TX 75081-1874

Mailing address

1840 N Greenville Ave Ste 156
Richardson, TX 75081-1874
Phone (972) 994-0434

Other identifiers 4

IdentifierTypeStateIssuer
0078HCOtherTXBCBS
1035285OtherTXCIGNA
1035285OtherTXAETNA
0A3461OtherTXMEDICARE PTAN

Other names 1

  • Innovative Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090325000326 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5799842407 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

1840 N Greenville Ave
Ste 156
Richardson, TX 75081
Phone (972) 994-0434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1780896605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 N GREENVILLE AVE STE 156",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811874",
            "telephone_number": "972-994-0434",
            "fax_number": "972-994-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N GREENVILLE AVE STE 156",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811874",
            "telephone_number": "972-994-0434",
            "fax_number": "972-994-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PHYSICAL THERAPY AND SPORTS MEDICINE CENTER OF RICHARDSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "MCGINTY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "972-994-0434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1035285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0078HC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1035285",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1035285",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0A3461",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.