Organization Active NPI

Vibra Hospital of Lake Travis LLC

  • Rehabilitation Hospital
  • Lakeway, TX
National Provider Identifier
1194137364
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
VIBRA HOSPITAL OF LAKE TRAVIS LLC
Practice address
2000 Medical Drive
Lakeway, TX 78734-4200
Phone
(512) 263-4500
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Mr. Brad E Hollinger
Title
President
Phone
(717) 591-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

2000 Medical Drive
Lakeway, TX 78734-4200

Mailing address

8081 Royal Ridge Pkwy
Suite 120
Irving, TX 75063-2818
Phone (559) 892-2450

Other names 1

  • Vibra Rehabilitation Hospital of Lake Travis Doing business as

National Provider Directory

National Provider Directory

Locations

5932 Quebec St
Ste 180
Fort Worth, TX 76135
Phone (603) 681-9203

8081 Royal Ridge Pkwy
Ste 120
Irving, TX 75063

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1194137364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 ROYAL RIDGE PKWY",
            "address_2": "SUITE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632818",
            "telephone_number": "559-892-2450",
            "fax_number": "559-892-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL DRIVE",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344200",
            "telephone_number": "512-263-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRA HOSPITAL OF LAKE TRAVIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "HOLLINGER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-591-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibra Rehabilitation Hospital of Lake Travis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.