Individual provider Active NPI

Robert Brent Whalin, M.S. P.T.

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1205834330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1132165 Issued in TX
Practice address
2501 W William Cannon Dr
Suite 302
Austin, TX 78745-5253
Phone
(512) 416-7246
Fax
(512) 416-6791
NPI assigned
Jul 12, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1132165 TX Primary

Addresses

Primary practice location

2501 W William Cannon Dr
Suite 302
Austin, TX 78745-5253

Mailing address

2501 W William Cannon Dr
Suite 401
Austin, TX 78745-5253
Phone (512) 416-7246

Other identifiers 1

IdentifierTypeStateIssuer
8T4323OtherTXBLUE CROSS BLUE SHIELD

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

LicenseStateTypeSpecialty
1132165TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Physical Therapy and Rehabilitation Clinic, Inc. Past Accepting new patients
Robert P Wills MD PLLC Past Accepting new patients
Affiliated Physical Therapy and Rehabilitation Clinic Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205834330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR",
            "address_2": "SUITE 401",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455253",
            "telephone_number": "512-416-7246",
            "fax_number": "512-416-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR",
            "address_2": "SUITE 302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455253",
            "telephone_number": "512-416-7246",
            "fax_number": "512-416-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALIN",
        "first_name": "ROBERT",
        "middle_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "M.S. P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1132165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T4323",
            "state": "TX"
        }
    ],
    "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 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.

Verify at the official NPI Registry.