Active NPI
Patricia Kaye Jaynes, ATC, LMT
- Athletic Trainer
- Austin, TX
National Provider Identifier
1104402718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT5816
- Practice address
- 11210 US 290, Ste A230
Austin, TX 78631 - Phone
- (512) 362-8865
- NPI assigned
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT132694 | TX | |
| Athletic Trainer | 2255A2300X | AT5816 | TX | Primary |
Addresses
Primary practice location
11210 US 290, Ste A230
Austin, TX 78631
Mailing address
13062 US 290
Ste 100
Austin, TX 78631
Phone (512) 362-8865
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 |
|---|---|---|---|
| AT5816 | TX | MD | Athletic Trainer |
| MT132694 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Sports Chiropractic PLLC | Massage Therapist | Current | Accepting new patients |
Locations
13062 W US 290 Hwy
Ste 100
Austin, TX 78737
Phone (512) 362-8865
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Precision Chiropractic ATX
- Orthopedic Chiropractor
- Austin, TX
- NPI 1518457621
Massage Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1104402718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13062 US 290",
"address_2": "STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78631",
"telephone_number": "512-362-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11210 US 290, STE A230",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78631",
"telephone_number": "512-362-8865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYNES",
"first_name": "PATRICIA",
"middle_name": "KAYE",
"credential": "ATC, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2021-05-19",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT132694",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT5816",
"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 May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.