Individual provider Active NPI

Henry Jackson Conkle

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1376306019
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1111 W 34TH St Ste 101
Austin, TX 78705-1916
Phone
(512) 900-3231
NPI assigned
Feb 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

1111 W 34TH St Ste 101
Austin, TX 78705-1916

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (726) 202-3039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240323000517 TX Practitioner - Physical Therapist in Private Practice 2264879469 Reassigns benefits to 1 organization
I20250609000150 NC Practitioner - Physical Therapist in Private Practice 2264879469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Baylor College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians

Practice addresses (Care Compare)

3708 Mayfair St
Suite 110
Durham, NC 27707-6223
Phone (984) 215-5090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Mar 31, 2025 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Feb 5, 2024 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

3708 Mayfair St
Ste 110
Durham, NC 27707
Phone (984) 215-5090

101 Meadowlands Dr
Hillsborough, NC 27278
Phone (919) 732-6600

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

1111 W 34th St
Ste 101
Austin, TX 78705
Phone (512) 302-3921

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

Organizations & group practices 4

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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1376306019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "726-202-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 34TH ST STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051916",
            "telephone_number": "512-900-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLE",
        "first_name": "HENRY",
        "middle_name": "JACKSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "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 Feb 5, 2024; 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.