Macc Enterprises LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MACC ENTERPRISES LLC

Doing business as

Activerx - Plano

Practice address

3820 American Dr
Suite 170
Plano, TX 75075-6126

Phone

(972) 985-6006

Fax

(972) 685-6001

NPI assigned

Oct 16, 2013

Organization subpart

No

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

Authorized official

Name

Mark R Willis

Title

Owner/President

Phone

(214) 402-3882

Specialties & licenses 1

Addresses

Other names 1

• ACTIVERX - PLANO Doing business as

Locations

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1851729594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 AMERICAN DR",
            "address_2": "SUITE 170",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756126",
            "telephone_number": "972-985-6006",
            "fax_number": "972-985-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 AMERICAN DR",
            "address_2": "SUITE 170",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756126",
            "telephone_number": "972-985-6006",
            "fax_number": "972-685-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACC ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "214-402-3882"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTIVERX - PLANO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim K. Maale, M.D.
• Evelyn C.K. Maangi, FNP
• Maataji RX Corp (Unitedrx Pharmacy)
• Lilian Mabiru, APRN
• Michelle Lewis Macalpine, PH.D.
• Marvel Dorin Maccomish, NONE
• Steven R Macdonald, M.D.
• Michelle Heffner Macera, PH.D.
• Forrest Joseph Macfarlane, B.S., M.ED. LPC
• Cassondra Machac

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.