Atx Rehab and Review PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ATX REHAB AND REVIEW PLLC

Practice address

4207 Burnet Rd
Austin, TX 78756-3316

Phone

(214) 240-6236

NPI assigned

Jul 5, 2023

Organization subpart

No

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

Authorized official

Name

Deacon Staggs, MD

Title

Owner

Phone

(142) 406-2362

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1083392682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540088",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772540088",
            "telephone_number": "832-831-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 BURNET RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563316",
            "telephone_number": "214-240-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATX REHAB AND REVIEW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "STAGGS",
        "authorized_official_first_name": "DEACON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "142-406-2362",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jul 5, 2023; 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.