Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marc Conrad Ty Tentativa, PT

Individual provider Physical Therapist · NPI 1407488562

Marc Conrad Ty Tentativa, PT is a Physical Therapist in Private Practice in McKinney, Texas. Qualified in 2018, 8 years ago. Practices with Elata Health and Wellness, LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3951 Alma Rd Ste 201
McKinney, TX 75070
Phone: (469) 456-4155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2600 Eldorado Pkwy Ste 130, McKinney, TX 75070-7517 — (972) 984-7670

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1328172 (TX)
Physical Therapist Taxonomy 225100000X · Licence 1328172

Record details

NPI number1407488562
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 6, 2020
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Elata Health And Wellness, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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