Active NPI
Richard B Geraci, MS PT
- Physical Therapist
- Austin, TX
National Provider Identifier
1164443693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1148960
- Practice address
- 5555 N Lamar Blvd
Suite C-121
Austin, TX 78751-1073 - Phone
- (512) 407-8651
- Fax
- (512) 407-8424
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- 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 | 1148960 | TX | Primary |
Addresses
Primary practice location
5555 N Lamar Blvd
Suite C-121
Austin, TX 78751-1073
Mailing address
1412 Alguno Rd
Austin, TX 78757-3302
Phone (512) 619-3407
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1148960 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Sports Rehabilitation, LLC | Current | Accepting new patients | |
| Health Sense, Inc. | Physical Therapist | Past | Accepting new patients |
| Health Sense Home Care, Inc. | Past | Accepting new patients | |
| Mondo Sports Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Vision Sports Rehab
- Physical Therapy Clinic/Center
- Georgetown, TX
- NPI 1841099082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164443693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 ALGUNO RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787573302",
"telephone_number": "512-619-3407",
"fax_number": "512-407-8424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 N LAMAR BLVD",
"address_2": "SUITE C-121",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787511073",
"telephone_number": "512-407-8651",
"fax_number": "512-407-8424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERACI",
"first_name": "RICHARD",
"middle_name": "B",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1148960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Ryka George, CD(DONA), PCD(DONA)
- Sherien George, PA-C
- Vimal T George, MD
- Daphney Abraham Georges-Pierre, FNP-BC
- Georgeta Varga MD Parkinson Disease Movement Disorders Clinic PLLC
- Declan Gerard Geraghty
- Catherine L Geralds, D.O.
- Christine M. Gerard, M.S., CCC-SLP
- Daniela S Gerard, MD, PHD
- Michele K Gerard, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.