Fred J Urbanovsky, ATP

Primary specialty

Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X

License

ATP4732 Issued in TX

Practice address

2307 Walsh Dr
Round Rock, TX 78681-1437

Phone

(512) 694-6907

NPI assigned

May 6, 2011

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1225320492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 WALSH DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811437",
            "telephone_number": "512-694-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 WALSH DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811437",
            "telephone_number": "512-694-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANOVSKY",
        "first_name": "FRED",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "ATP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "ATP4732",
            "primary": false
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "TX",
            "license": "ATP4732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Counselor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Rehabilitation Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.