Organization Active NPI

Pain Rehab and Wellness Yoga Center ,PLLC

  • Occupational Therapist
  • Austin, TX
National Provider Identifier
1235497322
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PAIN REHAB AND WELLNESS YOGA CENTER ,PLLC
Practice address
706B W Ben White Blvd
Suite Number:160B
Austin, TX 78704-7153
Phone
(512) 293-9849
Fax
(888) 316-7855
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Nimisha Shroff
Title
Occupational Therapist
Phone
(512) 293-9849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

706B W Ben White Blvd
Suite Number:160B
Austin, TX 78704-7153

Mailing address

706B W Ben White Blvd
Suite Number:160B
Austin, TX 78704-7153
Phone (512) 293-9849

National Provider Directory

National Provider Directory

Locations

706 W Ben White Blvd
Ste B160
Austin, TX 78704
Phone (512) 293-9849

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1235497322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706B W BEN WHITE BLVD",
            "address_2": "SUITE NUMBER:160B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047153",
            "telephone_number": "512-293-9849",
            "fax_number": "888-316-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706B W BEN WHITE BLVD",
            "address_2": "SUITE NUMBER:160B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047153",
            "telephone_number": "512-293-9849",
            "fax_number": "888-316-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN REHAB AND WELLNESS YOGA CENTER ,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "SHROFF",
        "authorized_official_first_name": "NIMISHA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "512-293-9849"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "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 May 7, 2014; 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.