Active NPI
Endeavor Rehab Center Inc
- Physical Therapist
- Austin, TX
National Provider Identifier
1154059004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ENDEAVOR REHAB CENTER INC
- Practice address
- 6911 Ranch Rd 620 North, Ste B-201
Austin, TX 78732-1920 - Phone
- (512) 467-4546
- Fax
- (512) 467-4547
- NPI assigned
- Aug 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Streeter
- Title
- Vice President
- Phone
- (800) 699-9395
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Hand Occupational Therapist | 225XH1200X |
Addresses
Primary practice location
6911 Ranch Rd 620 North, Ste B-201
Austin, TX 78732-1920
Mailing address
PO Box 932184
Atlanta, GA 31193-2184
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700265600000",
"number": "1154059004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932184",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6911 RANCH RD 620 NORTH, STE B-201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787321920",
"telephone_number": "512-467-4546",
"fax_number": "512-467-4547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDEAVOR REHAB CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-09",
"last_updated": "2023-11-18",
"certification_date": "2023-11-18",
"status": "A",
"authorized_official_last_name": "STREETER",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "800-699-9395"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
}
],
"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 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.