Provider Demographics
NPI:1194022749
Name:MMC THERAPY ENTERPRISES, LLC
Entity Type:Organization
Organization Name:MMC THERAPY ENTERPRISES, LLC
Other - Org Name:CUTTING EDGE PHYSICAL THERAPY SPORTS AND LIFE PERFORMANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:MCANALLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-361-2303
Mailing Address - Street 1:3465 NATIONAL DR STE 115
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-1095
Mailing Address - Country:US
Mailing Address - Phone:469-361-2303
Mailing Address - Fax:
Practice Address - Street 1:3465 NATIONAL DR
Practice Address - Street 2:STE 115
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025
Practice Address - Country:US
Practice Address - Phone:972-410-5777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No273Y00000XHospital UnitsRehabilitation UnitGroup - Single Specialty