Provider Demographics
NPI:1578853206
Name:MCCADDEN, JOHN ANTHONY II (MPT, CSCS)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ANTHONY
Last Name:MCCADDEN
Suffix:II
Gender:M
Credentials:MPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:9200 WORLD CUP WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4950
Mailing Address - Country:US
Mailing Address - Phone:972-712-2669
Mailing Address - Fax:
Practice Address - Street 1:9200 WORLD CUP WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4950
Practice Address - Country:US
Practice Address - Phone:972-712-2669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11208222251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic