Individual provider Active NPI

Shasta D Raby, PTA

  • Physical Therapy Assistant
  • Austin, TX
National Provider Identifier
1104786540
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2090313 Issued in TX
Practice address
13915 Burnet Rd Ste 103
Austin, TX 78728-6518
Phone
(512) 710-6516
NPI assigned
Nov 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2090313 TX Primary

Addresses

Primary practice location

13915 Burnet Rd Ste 103
Austin, TX 78728-6518

Mailing address

13915 Burnet Rd Ste 103
Austin, TX 78728-6518
Phone (512) 710-6516

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

LicenseStateTypeSpecialty
2090313TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Outcomes Wound Therapy PLLC CurrentSince Nov 24, 2025 Accepting new patients
Outcomes Therapy Ops CurrentSince Nov 24, 2025 Accepting new patients

Locations

13915 Burnet Rd
Ste 103
Austin, TX 78728
Phone (512) 710-6516

Organizations & group practices 2

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": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1104786540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13915 BURNET RD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286518",
            "telephone_number": "512-710-6516",
            "fax_number": "512-355-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13915 BURNET RD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286518",
            "telephone_number": "512-710-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABY",
        "first_name": "SHASTA",
        "middle_name": "D",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2090313",
            "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 Nov 17, 2025; 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.