Active NPI
Jonathan Frank McDonald, PT
- Physical Therapist
- Mansfield, TX
National Provider Identifier
1902193691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1207907
- Practice address
- 2851 Matlock Rd
#600
Mansfield, TX 76063-5037 - Phone
- (817) 473-6246
- Fax
- (817) 473-2014
- NPI assigned
- Jul 1, 2011
- Last updated
- Jul 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1207907 | TX | Primary |
Addresses
Primary practice location
2851 Matlock Rd
#600
Mansfield, TX 76063-5037
Mailing address
2851 Matlock Rd
#600
Mansfield, TX 76063-5037
Phone (817) 473-6246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1902193691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2851 MATLOCK RD",
"address_2": "#600",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635037",
"telephone_number": "817-473-6246",
"fax_number": "817-473-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 MATLOCK RD",
"address_2": "#600",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635037",
"telephone_number": "817-473-6246",
"fax_number": "817-473-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JONATHAN",
"middle_name": "FRANK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-01",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1207907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.