Active NPI
Elizabeth Bustos, PT
- Physical Therapist
- Austin, TX
National Provider Identifier
1124294186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1170599
- Practice address
- 2200 Park Bend Dr
BLDG 1 Ste 301
Austin, TX 78758 - Phone
- (512) 339-0440
- NPI assigned
- Apr 30, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1170599 | TX | Primary |
Addresses
Primary practice location
2200 Park Bend Dr
BLDG 1 Ste 301
Austin, TX 78758
Mailing address
2200 Park Bend Dr
BLDG 1 Ste 301
Austin, TX 78758
Phone (512) 339-0440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4881 Williams Dr
Suite 103
Georgetown, TX 78633-2438
Phone (402) 802-9157
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1170599 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Physical Therapy and Sports Rehab LLC | Physical Therapist | Current | Accepting new patients |
Locations
6940 Van Dorn St
Ste 103
Lincoln, NE 68506
Phone (402) 483-4709
4881 Williams Dr
Ste 103
Georgetown, TX 78633
Phone (402) 802-9157
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 and National Provider Directory roles.
-
- Physical Therapist
- Georgetown, TX
- NPI 1881347623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1124294186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 PARK BEND DR",
"address_2": "BLDG 1 STE 301",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78758",
"telephone_number": "512-339-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PARK BEND DR",
"address_2": "BLDG 1 STE 301",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78758",
"telephone_number": "512-339-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSTOS",
"first_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1170599",
"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 Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.