MARC CONRAD TY TENTATIVA (PT) – Physical Therapist, NPI 1407488562
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX
Provider Addresses for MARC CONRAD TY TENTATIVA (PT)
15410 S MOUNTAIN PKWY STE 112
PHOENIX, AZ 850446691
Phone: (480) 689-5534
Fax: (480) 706-7997
Type: Mailing
2600 Eldorado Pkwy Ste 130
McKinney, TX 750707517
Phone: (972) 984-7670
Type: Location
2600 ELDORADO PKWY STE 130
MCKINNEY, TX 750707517
Phone: (972) 984-7670
Type: Mailing
3951 ALMA RD STE 201
MCKINNEY, TX 75070
Phone: (469) 456-4155
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-01-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210121001473 | I | Physical Therapist In Private Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX |
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