Individual provider Active NPI

Rafael Pardeiro, MSPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1205864212
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1148408 Issued in TX
Practice address
9501 Anchusa TRL
Austin, TX 78736-2335
Phone
(512) 626-2025
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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 1148408 TX Primary

Addresses

Primary practice location

9501 Anchusa TRL
Austin, TX 78736-2335

Mailing address

9501 Anchusa TRL
Austin, TX 78736-2335
Phone (512) 461-1902

Other practice location 1

236 William Dr
Altus, OK 73521-2142
Phone (512) 461-1902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060418000550 TX Practitioner - Physical Therapist in Private Practice 1355350422 Reassigns benefits to 1 organization
I20200608001912 OK Practitioner - Physical Therapist in Private Practice 1355350422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Austin, TX 78737
Phone (512) 461-1902

236 William Dr
Altus, OK 73521-2142
Phone (512) 461-1902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1148408TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cloverleaf Services, Inc Physical Therapist CurrentSince Jul 28, 2018 Accepting new patients
Amy Beth Hopkins MPT PC Dba Your Personal Best PT Physical Therapist PastSince Oct 12, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Gary Alan Hopkins MD, PA Past Accepting new patients
Amy Beth Hopkins MPT PC Dba Your Personal Best PT Physical Therapist PastSince Apr 18, 2006 Accepting new patients

Organizations & group practices 5

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1205864212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 ANCHUSA TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787362335",
            "telephone_number": "512-461-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 ANCHUSA TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787362335",
            "telephone_number": "512-626-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 William Dr",
            "address_purpose": "LOCATION",
            "city": "Altus",
            "state": "OK",
            "postal_code": "735212142",
            "country_code": "US",
            "telephone_number": "512-461-1902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARDEIRO",
        "first_name": "RAFAEL",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1148408",
            "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 Jul 27, 2026; 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.