Physio 360 LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSIO 360 LLC

Practice address

108 Walkup LN
Leander, TX 78641-4653

Phone

(848) 221-5121

NPI assigned

Dec 1, 2021

Last updated

Dec 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shreeraj Patel, DPT

Title

Physical Therapist

Phone

(848) 221-5121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1184382616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WALKUP LN",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414653",
            "telephone_number": "848-221-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WALKUP LN",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414653",
            "telephone_number": "848-221-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO 360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHREERAJ",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "848-221-5121",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Jane Perez
• Antoine Nguyen Pham, D.O.
• Mai Thi Pham
• Chieu Huynh Phan
• Malory Phillips
• Jae Hoon Pi
• Vinay Kumar Pilly Yadaiah, DDS, MPH, MSC
• Laura Elizabeth Poff, AU.D.
• Lisa Pomeroy, ND
• Skylar Pope

• Physical Therapist in Leander, TX
• Providers in Leander, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.