Individual provider Active NPI

Thomas Grant Ratana, DPT

  • Orthopedic Physical Therapist
  • Austin, TX
National Provider Identifier
1275219891
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1394470 Issued in TX
Practice address
1601 Trinity St
Austin, TX 78712-1765
Phone
(833) 882-2737
NPI assigned
Jun 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 304141 CA
Orthopedic Physical Therapist 2251X0800X 13119 MN
Orthopedic Physical Therapist 2251X0800X 1394470 TX Primary

Addresses

Primary practice location

1601 Trinity St
Austin, TX 78712-1765

Mailing address

1601 Trinity St Stop Z0200
Austin, TX 78712-1850
Phone (833) 882-2737

Other practice location 1

2104 Northdale Blvd NW
Minneapolis, MN 55433-3028
Phone (763) 755-5495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911001422 TX Practitioner - Physical Therapist in Private Practice 3678013166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The University of Texas at AustinGroup PAC ID 2668559436, 154 clinicians

Practice addresses (Care Compare)

1601 Trinity St
Austin, TX 78712-1765
Phone (833) 882-2737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304141CAMDOrthopedic Physical Therapist
1394470TXMDOrthopedic Physical Therapist
13119MNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin CurrentSince Oct 7, 2024 Accepting new patients
University of Texas at Austin Dell Medical School Current Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Oct 7, 2024 Accepting new patients

Locations

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

1601 Trinity St
Stop Z0200
Austin, TX 78712
Phone (512) 495-5512

Interoperability endpoints

  • Direct secure messaging: thomas.ratana.1@16041.direct.athenahealth.com

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1275219891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST STOP Z0200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121850",
            "telephone_number": "833-882-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121765",
            "telephone_number": "833-882-2737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2104 Northdale Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554333028",
            "country_code": "US",
            "telephone_number": "763-755-5495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATANA",
        "first_name": "THOMAS",
        "middle_name": "GRANT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "304141",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "13119",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1394470",
            "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 26, 2024; 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.