Organization Active NPI

Texas Orthopedics Sports & Rehabilitation Associates PA

  • Orthopaedic Surgery Physician
  • Kyle, TX
National Provider Identifier
1104359108
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TEXAS ORTHOPEDICS SPORTS & REHABILITATION ASSOCIATES PA
Practice address
4215 Benner Rd
Suite 300
Kyle, TX 78640
Phone
(512) 439-1007
Fax
(512) 439-1113
NPI assigned
Apr 6, 2017
Organization subpart
Yes
Parent organization
TEXAS ORTHOPEDICS SPORTS & REHABILITATION ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Jennifer Kinman
Title
Cfo
Phone
(512) 439-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

4215 Benner Rd
Suite 300
Kyle, TX 78640

Mailing address

4215 Benner Rd
Suite 300
Kyle, TX 78640
Phone (512) 439-1007

National Provider Directory

National Provider Directory
Part of
Carolyn M Hyde MD

Locations

4215 Benner
Ste 300
Kyle, TX 78640
Phone (512) 439-1007

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1104359108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 BENNER RD",
            "address_2": "SUITE 300",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "512-439-1007",
            "fax_number": "512-439-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 BENNER RD",
            "address_2": "SUITE 300",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "512-439-1007",
            "fax_number": "512-439-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ORTHOPEDICS SPORTS & REHABILITATION ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS ORTHOPEDICS SPORTS & REHABILITATION ASSOCIATES PA",
        "enumeration_date": "2017-04-06",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "KINMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-439-1011"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.