Meena Marie McCullough, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1252167 Issued in TX

Practice address

2642 N Belt Line Rd
Irving, TX 75062

Phone

(214) 225-0291

NPI assigned

Apr 23, 2020

Last updated

Jan 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Something Amazing Home Therapy, LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1104457944
  Medicare reassignment NPD
• Texas Luna Care Physical Therapy LLC

  • Physical Therapist
  • Southlake, TX
  • NPI 1790309656
  Medicare reassignment NPD
• BCS Management LLC

  dba ITOP Physical Therapy

  • Clinic/Center
  • Irving, TX
  • NPI 1568029023

  Physical Therapist

  NPD

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1902426653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E ASH LN APT 1103",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760394752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "214-225-0291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Ash Ln Apt 1103",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760394752",
            "country_code": "US",
            "telephone_number": "469-323-9068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "MEENA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1252167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callum Graham McCormick, M.S., D.O.
• Steve McCormick
• Dorian McCradic, CRNA
• Linda Faye McCrary, BSN, MN, MSN
• Jodie Leigh McCraw, DNP, APRN, NNP-BC
• Adrian McCune, BCBA
• Antoinette McDaniel, PHARMD
• Nikisha T McDaniel, DC
• Bailey Bishop McDonald, DC
• Maria Karen McDonald, MOTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.