NPIMap

Organization Active NPI

Brenda Elizabeth Shunn

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1275825739
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BRENDA ELIZABETH SHUNN
Practice address
2111 Dickson Dr Ste 22
Austin, TX 78704-4788
Phone
(512) 797-7688
NPI assigned
May 3, 2011
Last updated
May 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Ms. Brenda Shunn, LPT, RMTNPI 1619070935
Title
Independent Practitioner
Phone
(512) 707-7688

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Massage Therapist 225700000X NU

Addresses

Primary practice location

2111 Dickson Dr Ste 22
Austin, TX 78704-4788

Mailing address

2111 Dickson Dr Ste 22
Austin, TX 78704-4788
Phone (512) 797-7688

National Provider Directory

National Provider Directory

Locations

2111 Dickson Dr
Ste 22
Austin, TX 78704
Phone (512) 707-7688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1275825739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 DICKSON DR STE 22",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044788",
            "telephone_number": "512-797-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 DICKSON DR STE 22",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044788",
            "telephone_number": "512-797-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA ELIZABETH SHUNN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "SHUNN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "INDEPENDENT PRACTITIONER",
        "authorized_official_telephone_number": "512-707-7688",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPT, RMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 3, 2011; 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.