Individual provider Active NPI

Keely Ozment

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1174251003
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
711 W 38TH St Ste C11
Austin, TX 78705-1137
Phone
(512) 302-3922
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

711 W 38TH St Ste C11
Austin, TX 78705-1137

Mailing address

7505 N Loop 1604 E Ste 101
Live Oak, TX 78233-2799
Phone (210) 590-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901000161 TX Practitioner - Physical Therapist in Private Practice 8921482480 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians

Practice addresses (Care Compare)

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists CurrentSince Aug 8, 2022 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 31, 2025 Accepting new patients

Locations

711 W 38th St
Ste C11
Austin, TX 78705
Phone (512) 302-3922

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

1111 W 34th St
Ste 101
Austin, TX 78705
Phone (512) 302-3921

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1174251003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 N LOOP 1604 E STE 101",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332799",
            "telephone_number": "210-590-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST STE C11",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051137",
            "telephone_number": "512-302-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZMENT",
        "first_name": "KEELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Aug 9, 2022; 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.

Verify at the official NPI Registry.