Active NPI
Coleburn Alan Christie Sr., P.T.
- Physical Therapist
- Austin, TX
National Provider Identifier
1295936227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1135614
- Practice address
- 8017 Mesa Dr
#103
Austin, TX 78731-1300 - Phone
- (512) 791-3702
- Fax
- (512) 682-0220
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1135614 | TX | Primary |
Addresses
Primary practice location
8017 Mesa Dr
#103
Austin, TX 78731-1300
Mailing address
8017 Mesa Dr
#103
Austin, TX 78731-1300
Phone (512) 791-3702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8017 Mesa Dr
Suite 103
Austin, TX 78731-1313
Phone (512) 791-3702
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christie Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
8017 Mesa Dr
Ste 103
Austin, TX 78731
Phone (512) 791-3702
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Austin, TX
- NPI 1831366137
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1295936227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8017 MESA DR",
"address_2": "#103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311300",
"telephone_number": "512-791-3702",
"fax_number": "512-682-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8017 MESA DR",
"address_2": "#103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311300",
"telephone_number": "512-791-3702",
"fax_number": "512-682-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIE",
"first_name": "COLEBURN",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1135614",
"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 Jan 26, 2010; 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.