Primal Shift Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRIMAL SHIFT PHYSICAL THERAPY LLC

Practice address

2029 Kauffman Loop Unit 410
Georgetown, TX 78628-1461

Phone

(512) 200-4469

Fax

(512) 233-5875

NPI assigned

Jun 23, 2026

Organization subpart

No

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

Authorized official

Name

Anne Rehler Vincent, PT, DPTNPI 1679249510

Title

Owner/Physical Therapist

Phone

(512) 584-9011

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anne Rehler Vincent, PT, DPT

  • Physical Therapist
  • Georgetown, TX
  • NPI 1679249510
  NPD (past) Authorized official

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1376479600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 COASTAL WAY",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281939",
            "telephone_number": "512-200-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 KAUFFMAN LOOP UNIT 410",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281461",
            "telephone_number": "512-200-4469",
            "fax_number": "512-233-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAL SHIFT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "REHLER",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "512-584-9011",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Marie Prewit
• Brandon Matthew Price, DPT,PHD
• Deborah Dale Price, LMFT, LPC
• Sandra L Price, LMFT
• Rebekah Pridgeon, LPC
• Primary Foot Care
• Prime Services and Solutions LLC
• Angela Marie Procalamos, LCSW
• Prolab Incorporated
• Ryan Sanford Prudoff, DO

• Physical Therapy Clinic/Center in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.