Individual provider Active NPI

Marcus R McNeal, PT

  • Physical Therapist
  • Durant, OK
National Provider Identifier
1902935877
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP030028T Issued in OK
Practice address
519 University PL Ste 119
Durant, OK 74701-7102
Phone
(580) 634-7556
Fax
(580) 319-7904
NPI assigned
Mar 5, 2007
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP030028T OK Primary
Physical Therapist 225100000X 1130680 TX
Orthopedic Physical Therapist 2251X0800X 1130680 TX

Addresses

Primary practice location

519 University PL Ste 119
Durant, OK 74701-7102

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

4005 Lamar Avenue
Paris, TX 75462
Phone (903) 785-3861

Other practice location 2

4005 Lamar Avenue
Paris, TX 75462
Phone (903) 785-3861

Other practice location 3

2021 N Highway 1417
Sherman, TX 75092
Phone (903) 892-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181108000042 TX Practitioner - Physical Therapist in Private Practice 4587918685 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP030028TOKMDPhysical Therapist
1130680TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Oct 22, 2018 Accepting new patients
Therapy in Motion of Oklahoma LLC Physical Therapist CurrentSince May 11, 2024 Accepting new patients
Therapy in Motion of Oklahoma LLC Physical Therapist CurrentSince May 11, 2024 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Oct 22, 2018 Accepting new patients
Resthab Inc. Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

519 University Pl
Ste 119
Durant, OK 74701
Phone (580) 634-7556

2475 Boardwalk
Norman, OK 73069
Phone (405) 447-1991

3926 Teasley Ln
Unit 105
Denton, TX 76210
Phone (833) 472-1770

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

2021 N Highway 1417
Sherman, TX 75092
Phone (903) 892-4800

204 Medical Dr
Ste 160
Sherman, TX 75092
Phone (903) 892-4800

Organizations & group practices 5

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1902935877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 UNIVERSITY PL STE 119",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747017102",
            "telephone_number": "580-634-7556",
            "fax_number": "580-319-7904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4005 Lamar Avenue",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "75462",
            "country_code": "US",
            "telephone_number": "903-785-3861",
            "fax_number": "903-739-8768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4005 Lamar Avenue",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "75462",
            "country_code": "US",
            "telephone_number": "903-785-3861",
            "fax_number": "903-739-8768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 N Highway 1417",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "75092",
            "country_code": "US",
            "telephone_number": "903-892-4800",
            "fax_number": "903-892-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "MARCUS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "CP030028T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1130680",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1130680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.