Active NPI
Sherwin Larracas, PT
- Geriatric Physical Therapist
- Austin, TX
National Provider Identifier
1093998650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 1121242
- Practice address
- 2500 Barton Creek Blvd
Austin, TX 78735-1603 - Phone
- (512) 610-9401
- Fax
- (512) 329-3282
- NPI assigned
- Dec 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1121242 | TX | |
| Geriatric Physical Therapist | 2251G0304X | 1121242 | TX | Primary |
Addresses
Primary practice location
2500 Barton Creek Blvd
Austin, TX 78735-1603
Mailing address
8721 Foggy Mountain Dr
Austin, TX 78736-3370
Phone (512) 301-3103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1121242 | TX | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1093998650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8721 FOGGY MOUNTAIN DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787363370",
"telephone_number": "512-301-3103",
"fax_number": "512-301-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 BARTON CREEK BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787351603",
"telephone_number": "512-610-9401",
"fax_number": "512-329-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARRACAS",
"first_name": "SHERWIN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-06",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1121242",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "1121242",
"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 Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.