Organization Active NPI

Physical Therapy Specialty Clinic, PC

  • Orthopedic Physical Therapist
  • Austin, TX
National Provider Identifier
1215960836
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1051415 Issued in TX
Legal business name
PHYSICAL THERAPY SPECIALTY CLINIC, PC
Practice address
12741 Research Blvd
Suite 505-B
Austin, TX 78759-4388
Phone
(512) 219-5377
Fax
(512) 219-5376
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Colleen Frances Basler, P.T.NPI 1538193768
Title
Therapist/President
Phone
(512) 219-5377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 1051415 TX Primary

Addresses

Primary practice location

12741 Research Blvd
Suite 505-B
Austin, TX 78759-4388

Mailing address

12741 Research Blvd
Suite 505-B
Austin, TX 78759-4388
Phone (512) 219-5377

National Provider Directory

National Provider Directory

Locations

12741 Research Blvd
Ste 505B
Austin, TX 78759
Phone (512) 219-5377

Practitioners & affiliated clinicians

Practitioners 2

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215960836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 RESEARCH BLVD",
            "address_2": "SUITE 505-B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594388",
            "telephone_number": "512-219-5377",
            "fax_number": "512-219-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 RESEARCH BLVD",
            "address_2": "SUITE 505-B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594388",
            "telephone_number": "512-219-5377",
            "fax_number": "512-219-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SPECIALTY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASLER",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "512-219-5377",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1051415",
            "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 Aug 22, 2020; 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.