Tracie L Schwab, D.C.
Individual provider Active NPI Chiropractor · Cedar Park, TX
NPI 1043362858 · NPPES record last updated Oct 22, 2020
Key facts
- NPI
- 1043362858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 8590 (TX)
- Practice address
- 3109 Kenai Dr Ste 101
Cedar Park, TX 78613-2540 - Phone
- (512) 363-5178
- Fax
- (512) 339-2994
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3109 Kenai Dr
Suite 101
Cedar Park, TX 78613-2540
Phone (512) 363-5178
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040707000890 | TX | Practitioner - Chiropractic | 0648257972 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8590 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracie L Schwab DC PA | Chiropractor | Current |
Accepting new patients |
| Cove Freedom Chiropractic | Chiropractor | Past | Accepting new patients |
| Isdale Chiropractic Clinic of Copperas Cove | Chiropractor | Past | Accepting new patients |
| Kristy L Clinton DC PA | Chiropractor | Past | Accepting new patients |
| Emily Doubt Chiropractic PLLC | Chiropractor | Past |
Accepting new patients |
Locations
3951 W Parmer Ln
Ste 300
Austin, TX 78727
Phone (512) 339-2663
12101 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 363-5178
3109 Kenai Dr
Ste 101
Cedar Park, TX 78613
Phone (512) 363-5178
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8590 | TX | Yes |
Addresses
Primary practice location
3109 Kenai Dr Ste 101
Cedar Park, TX 78613-2540
Mailing address
3109 Kenai Dr Ste 101
Cedar Park, TX 78613-2540
Phone (512) 363-5178
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BILLING@BACKBONECP.COM | Direct |
NPI Registry JSON
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1043362858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 KENAI DR STE 101",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132540",
"telephone_number": "512-363-5178",
"fax_number": "512-339-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 KENAI DR STE 101",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132540",
"telephone_number": "512-363-5178",
"fax_number": "512-339-2994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWAB",
"first_name": "TRACIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8590",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "BILLING@BACKBONECP.COM",
"affiliation": "N",
"endpointDescription": "WORK EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "BUSINESS EMAIL",
"address_1": "3109 Kenai Dr Ste 101",
"city": "Cedar Park",
"state": "TX",
"country_code": "US",
"postal_code": "786132540",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.