Jon Hupp, PT, MTC, CERT. MDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1087641 Issued in TX

Practice address

7401 W Highway 71
Austin, TX 78735-8260

Phone

(512) 288-2700

Fax

(512) 288-2711

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Oklahoma College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Therapy and Advanced Rehabilitation, Inc.Group PAC ID 4284684093, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sports Therapy and Advanced Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Austin, TX
  • NPI 1265441075

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1013916337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 W HIGHWAY 71",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358260",
            "telephone_number": "512-288-2700",
            "fax_number": "512-288-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 W HIGHWAY 71",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358260",
            "telephone_number": "512-288-2700",
            "fax_number": "512-288-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPP",
        "first_name": "JON",
        "credential": "PT, MTC, CERT. MDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1087641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "8T0587",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Hunter, COTA
• Tenisha Hunter, LCSW-S
• Abigael Marie Huntoon, LCSW
• Dana Michelle Huntsman, MCD CCCSLP
• Marissa C Huntsman
• Karen Hupp, LPC
• Samin Irfun Huque, DDS
• Jennifer Hur
• Khammi Hurd
• Michael Seth Hurewitz, LCSW

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.