Individual provider Active NPI

Miller McVay

  • Physical Therapist
  • Richardson, TX
National Provider Identifier
1790935542
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1183870 Issued in TX
Practice address
1475 Richardson Dr
210
Richardson, TX 75080-4659
Phone
(469) 941-4603
Fax
(469) 930-0179
NPI assigned
Sep 29, 2008
Last updated
Jul 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1183870 TX Primary

Addresses

Primary practice location

1475 Richardson Dr
210
Richardson, TX 75080-4659

Mailing address

1475 Richardson Dr
210
Richardson, TX 75080-4659
Phone (469) 941-4603

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807013602 TX Practitioner - Physical Therapist in Private Practice 6709190598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 Shiloh Rd
Suite 2400
Plano, TX 75074-7264
Phone (469) 941-4603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1183870TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McVay Physical Therapy & Wellness, LLC Physical Therapist CurrentSince Jun 22, 2015 Accepting new patients
McVay Physical Therapy & Wellness, LLC Past Accepting new patients

Locations

525 Shiloh Rd
Ste 2400
Plano, TX 75074
Phone (469) 941-4603

1475 Richardson Dr
Ste 210
Richardson, TX 75080
Phone (469) 941-4603

Organizations & group practices 2

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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1790935542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 RICHARDSON DR",
            "address_2": "210",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804659",
            "telephone_number": "469-941-4603",
            "fax_number": "469-930-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 RICHARDSON DR",
            "address_2": "210",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804659",
            "telephone_number": "469-941-4603",
            "fax_number": "469-930-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVAY",
        "first_name": "MILLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1183870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 8, 2015; 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.