Lori Beth Wasserburger, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

H2890 Issued in TX

Practice address

2525 Wallingwood Dr
BLDG 1, Ste 212
Austin, TX 78746-7874

Phone

(512) 358-0500

Fax

(512) 358-0520

NPI assigned

Sep 20, 2006

Last updated

Dec 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Sports & Spine Associates, P.a.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Austin, TX
  • NPI 1245439819
  Authorized official Same address or phone
• Lynus Brown Jr MD PA

  • General Practice Physician
  • Austin, TX
  • NPI 1235338807
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1033217450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27165",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787552165",
            "telephone_number": "512-358-0500",
            "fax_number": "512-358-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR",
            "address_2": "BLDG 1, STE 212",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467874",
            "telephone_number": "512-358-0500",
            "fax_number": "512-358-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERBURGER",
        "first_name": "LORI",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "H2890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4295756",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E-98496",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80W550",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas John Washuta II
• Emma Elizabeth Wasko
• Leidy Wassenaar
• Cynthia Inge Wasser, OD
• Petra Wasser, PTA
• Frances Sommers Wasserman, APRN,BC
• Shawn R Wassmuth, M.D.
• Zachary D Wassmuth, M.D.
• Abby Lynn Wasson, LCSW
• Kaitlin Waszkewitz, CPNP-PC

• Physical Medicine & Rehabilitation Physician in Austin, TX
• Providers in Austin, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.