Individual provider Active NPI

Anna Powell

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1316540958
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4607 Menchaca Rd
Austin, TX 78745-1607
Phone
(512) 916-1511
Fax
(512) 916-1532
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4607 Menchaca Rd
Austin, TX 78745-1607

Mailing address

4607 Menchaca Rd
Austin, TX 78745-1607
Phone (512) 916-1511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260323003787 DC Practitioner - Physical Therapist in Private Practice 8628505930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

138 5TH Ave
FL 2
New York, NY 10011-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William H and Carrie Gottsche Foundation CurrentSince Jan 6, 2025 Accepting new patients
Southern Roots Physical Therapy Current Accepting new patients
Kidtherapy, PLLC Physical Therapist PastSince Nov 22, 2020 Accepting new patients
Holistic Pain Management of Wyoming, LLC Past Accepting new patients

Locations

762 Lindsay Ln
Cody, WY 82414
Phone (307) 578-1970

639 W Coulter Ave
Powell, WY 82435
Phone (307) 754-9262

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1316540958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 MENCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451607",
            "telephone_number": "512-916-1511",
            "fax_number": "512-916-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MENCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451607",
            "telephone_number": "512-916-1511",
            "fax_number": "512-916-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical 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 Nov 17, 2020; 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.