Organization Active NPI

Toepperwein Physical Therapy and Spine Rehab PC

  • Physical Therapist
  • Live Oak, TX
National Provider Identifier
1366626319
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
601430000 Issued in TX
Legal business name
TOEPPERWEIN PHYSICAL THERAPY AND SPINE REHAB PC
Practice address
11481 Toepperwein Rd Ste 1201
Live Oak, TX 78233-3146
Phone
(210) 599-8903
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
James D Hedgepeth, PTNPI 1962432146
Title
Owner
Phone
(210) 599-8903

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 601430000 TX Primary

Addresses

Primary practice location

11481 Toepperwein Rd Ste 1201
Live Oak, TX 78233-3146

Mailing address

11481 Toepperwein Rd Ste 1201
Live Oak, TX 78233-3146
Phone (210) 599-8903

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080730000570 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193899789 Receives reassigned benefits from 3 practitioners
Practice locations: Live Oak, TX

National Provider Directory

National Provider Directory

Locations

11481 Toepperwein Rd
Ste 1201
Live Oak, TX 78233
Phone (210) 599-8903

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1366626319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 TOEPPERWEIN RD STE 1201",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333146",
            "telephone_number": "210-599-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 TOEPPERWEIN RD STE 1201",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333146",
            "telephone_number": "210-599-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOEPPERWEIN PHYSICAL THERAPY AND SPINE REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "HEDGEPETH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-599-8903",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "601430000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.