1508845686 NPI number — AFFILIATED PHYSICAL THERAPY AND REHABILITATION CLINIC INC

Table of content: (NPI 1508845686)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508845686 NPI number — AFFILIATED PHYSICAL THERAPY AND REHABILITATION CLINIC INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AFFILIATED PHYSICAL THERAPY AND REHABILITATION CLINIC INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
AFFILIATED THERAPIES INC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508845686
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4310 JAMES CASEY ST
Provider Second Line Business Mailing Address:
SUITE 1D
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78745-1120
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-445-5213
Provider Business Mailing Address Fax Number:
512-445-4353

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1706 HWY 1431 W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARBLE FALLS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-693-3455
Provider Business Practice Location Address Fax Number:
830-693-2947
Provider Enumeration Date:
01/17/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BILLINGS
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
GENE
Authorized Official Title or Position:
EXECUTIVE DIRECTOR AND OWNER
Authorized Official Telephone Number:
512-443-2400

Provider Taxonomy Codes

  • Taxonomy code: 2251X0800X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 225X00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)