MANSFIELD THERAPY ASSOCIATES (NPI# 1386009702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386009702 |
| Entity Type | Organization |
| Organization Name | MANSFIELD THERAPY ASSOCIATES |
| Practice Address |
4503 Blue Grass Ct Mansfield TX 76063 |
| Mailing Address |
Po Box 461 Mansfield TX 76063 |
| Practice Telephone | 8176486999 |
| Practice Fax Number | 8173941970 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |
| Authorized Official Name | MR. DAVID R WILLIAMS (PRESIDENT) |
| Authorized Official Telephone | 8176486999 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4503 BLUE GRASS CT |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518494723 | Mansfield Orthopedic Associates | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2017-05-18 |
| 1396266458 | Kst | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2017-06-29 |
| 1427584796 | Mta | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2017-05-05 |
| 1659805935 | Dr David R Williams | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2017-04-13 |
| 1336688753 | Dr Dave Williams | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2017-02-17 |
| 1699210658 | Ksol | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2016-12-30 |
| 1629513114 | Ksob | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-20 |
| 1710421219 | Ksom | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-19 |
| 1366986853 | Ksol | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-19 |
| 1033654587 | Kinesiology Specialists of Dallas | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629513114 | Ksob | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-20 |
| 1710421219 | Ksom | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-19 |
| 1366986853 | Ksol | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-19 |
| 1033654587 | Kinesiology Specialists of Dallas | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-19 |
| 1104361658 | Ksoh | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-19 |
| 1588108039 | Kinesiology Specialists of Fw | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-16 |
| 1588108021 | Kinesiology Specialists of Nevada | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-12-16 |
| 1174073613 | Ksots | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-10-08 |
| 1457706681 | Kinesiology Specialists of Texas | Physical Medicine & Rehabilitation | 4503 Blue Grass Ct, Mansfield, TX 76063 | 2016-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095164 | Roxana Ventura | Physical Medicine & Rehabilitation | 300 North Loop Ste 300, Houston, TX 77008-2853 | 2020-02-21 |
| 1720625544 | Kelli Knippa | Physical Medicine & Rehabilitation | 4202 44th St, Lubbock, TX 79413-3304 | 2019-12-01 |
| 1770128290 | Misty D Keim | Physical Medicine & Rehabilitation | 502 Dove Creek Dr, Round Rock, TX 78664-5920 | 2019-11-07 |
| 1720550213 | Kate Kautzky | Physical Medicine & Rehabilitation | 11200 Sean Haggerty Dr Apt 8202, El Paso, TX 79934-3390 | 2018-12-20 |
| 1720555212 | Pablo Eduardo Estrada | Physical Medicine & Rehabilitation | 3220 Montana Ave, El Paso, TX 79903-2630 | 2018-11-01 |
| 1750862652 | Heather Mcdonald | Physical Medicine & Rehabilitation | 501 Old Kyle Rd, Wimberley, TX 78676-2815 | 2018-08-28 |
| 1700380763 | Robert W Killebrew | Physical Medicine & Rehabilitation | 4401 Freidrich Ln Ste 302, Austin, TX 78744-1852 | 2018-03-22 |
| 1841701398 | Cortney Charlesworth | Physical Medicine & Rehabilitation | 12840 S Kirkwood Rd Apt 9110, Stafford, TX 77477-3848 | 2017-10-23 |
| 1538687108 | Jocelyn J Smith | Physical Medicine & Rehabilitation | 3220 Amy Donovan Plaza, Apt 10103, Austin, TX 78758 | 2017-09-05 |
| 1962889949 | Yonghoon Lee | Physical Medicine & Rehabilitation | 7200 Cambridge St Ste A10.238, Houston, TX 77030-4202 | 2015-04-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MANSFIELD THERAPY ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.