Individual provider Active NPI

Jamie Logsdon Reese, PT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1073700274
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1177153 Issued in TX
Practice address
711 W 38TH St
Suite C-11
Austin, TX 78705-1121
Phone
(512) 302-3922
Fax
(512) 795-0688
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1177153 TX Primary

Addresses

Primary practice location

711 W 38TH St
Suite C-11
Austin, TX 78705-1121

Mailing address

12508 Jones Maltsberger Rd
Ste. 110
San Antonio, TX 78247-4214
Phone (888) 590-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000231 TX Practitioner - Physical Therapist in Private Practice 7719061142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physical Therapy Specialists, IncGroup PAC ID 2567422538, 238 clinicians

Practice addresses (Care Compare)

11150 Research Blvd
Suite 212
Austin, TX 78759-5243
Phone (512) 794-8863

6836 Austin Ctr Blvd
Suite 1180
Austin, TX 78731-3188
Phone (512) 225-1002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1177153TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists CurrentSince Nov 1, 2015 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Nov 1, 2015 Accepting new patients
Sarol Ventures LLC Physical Therapist PastSince Mar 27, 2022 Accepting new patients

Locations

711 W 38th St
Ste C11
Austin, TX 78705
Phone (512) 302-3922

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

1111 W 34th St
Ste 101
Austin, TX 78705
Phone (512) 302-3921

11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601

101 Medical Pkwy
Ste 110
Lakeway, TX 78738
Phone (512) 879-4343

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

1700 E Palm Valley Blvd
Ste 395
Round Rock, TX 78664
Phone (512) 354-4067

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1073700274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 JONES MALTSBERGER RD",
            "address_2": "STE. 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474214",
            "telephone_number": "888-590-4002",
            "fax_number": "210-590-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST",
            "address_2": "SUITE C-11",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051121",
            "telephone_number": "512-302-3922",
            "fax_number": "512-795-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "JAMIE",
        "middle_name": "LOGSDON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1177153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.