Active NPI
Marcus Ripley, MPT
- Physical Therapist
- Austin, TX
National Provider Identifier
1154032910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1363717
- Practice address
- 321 W Ben White Blvd Ste 101
Austin, TX 78704-7086 - Phone
- (512) 215-9272
- NPI assigned
- Dec 12, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1363717 | TX | Primary |
Addresses
Primary practice location
321 W Ben White Blvd Ste 101
Austin, TX 78704-7086
Mailing address
1033 La Posada Dr Ste 230
Austin, TX 78752-3842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1363717 | Other | TX | TEXAS BOARD OF PHYSICAL THERAPY |
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 |
|---|---|---|---|
| 1363717 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Rehab Center Inc | Multi-Specialty | Current | Accepting new patients |
| Endeavor Rehab Center Inc | Multi-Specialty | Past | Accepting new patients |
Locations
1033 La Posada Dr
Ste 230
Austin, TX 78752
Phone (512) 284-7192
321 W Ben White Blvd
Ste 101
Austin, TX 78704
Phone (512) 215-9272
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": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1154032910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 LA POSADA DR STE 230",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787523842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 W BEN WHITE BLVD STE 101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047086",
"telephone_number": "512-215-9272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIPLEY",
"first_name": "MARCUS",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1363717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF PHYSICAL THERAPY",
"identifier": "1363717",
"state": "TX"
}
],
"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 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.