Individual provider Active NPI

Adrienne Wood Gobe, PT, DPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1346628682
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1253151 Issued in TX
Practice address
1825 Fortview Rd
Suite 109
Austin, TX 78704-7657
Phone
(512) 892-5250
NPI assigned
May 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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 1253151 TX Primary

Addresses

Primary practice location

1825 Fortview Rd
Suite 109
Austin, TX 78704-7657

Mailing address

1825 Fortview Rd
Suite 109
Austin, TX 78704-7657
Phone (512) 892-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1253151TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1346628682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 FORTVIEW RD",
            "address_2": "SUITE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047657",
            "telephone_number": "512-892-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FORTVIEW RD",
            "address_2": "SUITE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047657",
            "telephone_number": "512-892-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBE",
        "first_name": "ADRIENNE",
        "middle_name": "WOOD",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1253151",
            "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 Feb 1, 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.