Organization Active NPI

Drcathyphamdcprofessionalcorporation

  • Chiropractor
  • Austin, TX
National Provider Identifier
1336689595
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11829 Issued in TX
Legal business name
DRCATHYPHAMDCPROFESSIONALCORPORATION
Practice address
2028 E Ben White Blvd
Suite 100
Austin, TX 78741-6966
Phone
(512) 902-4860
NPI assigned
Mar 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Cathy Pham
Title
Provider
Phone
(512) 902-4860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11829 TX Primary

Addresses

Primary practice location

2028 E Ben White Blvd
Suite 100
Austin, TX 78741-6966

Mailing address

11904 Aitne LN
Austin, TX 78725-1768

Other names 1

  • ATX INJURY REHAB Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1336689595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11904 AITNE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787251768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E BEN WHITE BLVD",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416966",
            "telephone_number": "512-902-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRCATHYPHAMDCPROFESSIONALCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "512-902-4860"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATX INJURY REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 6, 2017; 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.