Active NPI
Andrew Fannie
- Physical Therapist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 6301 W Parmer LN Ste 102
Austin, TX 78729-6802 - Phone
- (512) 527-6479
- Fax
- (512) 572-5199
- NPI assigned
- Aug 25, 2022
- Last updated
- Oct 1, 2025
- 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 | Primary |
Addresses
Primary practice location
6301 W Parmer LN Ste 102
Austin, TX 78729-6802
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other practice location 1
2606 W Pecan St Ste 102
Pflugerville, TX 78660-1917
Phone (512) 527-6298
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2606 W Pecan St
Suite 102
Pflugerville, TX 78660-1917
Phone (512) 527-6298
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
6301 W Parmer Ln
Ste 102
Austin, TX 78729
Phone (512) 527-6479
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
4620 Williams Dr
Ste 105
Georgetown, TX 78633
Phone (512) 713-1509
2606 W Pecan St
Ste 102
Pflugerville, TX 78660
Phone (512) 527-6298
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1184343832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 W PARMER LN STE 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787296802",
"telephone_number": "512-527-6479",
"fax_number": "512-572-5199"
}
],
"practiceLocations": [
{
"address_1": "2606 W Pecan St Ste 102",
"address_purpose": "LOCATION",
"city": "Pflugerville",
"state": "TX",
"postal_code": "786601917",
"country_code": "US",
"telephone_number": "512-527-6298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANNIE",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-25",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"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 Oct 1, 2025; 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.