Mary L. Thomas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1066694 Issued in TX

Practice address

13747 Montfort Dr Ste 160
Dallas, TX 75240-4497

Phone

(956) 994-1700

Fax

(888) 816-3627

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Mary Lynn Thomas Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Innovative Therapy P.C.

  • Physical Therapist
  • Dallas, TX
  • NPI 1679681290
  Medicare reassignment NPD Authorized official
• Innovative Therapy P.C.

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1336907260

  Physical Therapist

  NPD Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1811005531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13747 MONTFORT DR STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404497",
            "telephone_number": "214-225-8530",
            "fax_number": "888-816-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13747 MONTFORT DR STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404497",
            "telephone_number": "956-994-1700",
            "fax_number": "888-816-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "RPT-519",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7343",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1066694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87740901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087740901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "THOMAS",
            "middle_name": "LYNN",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lila Thomas
• Lincy Thomas, MD
• Margaret Tilden Thomas, LCSW
• Maria Thomas, NP-C
• Marlisha Lorraine Thomas
• Melanie Thomas, APRN
• Meredith Thomas, PA-C
• Mika R Thomas, M.D.
• Milton Dean Thomas, M.D.
• Monica Renee Thomas, PMHNP (APN)

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.