Active NPI
Scolioaustin Professional LLC
- Physical Therapy Clinic/Center
- Austin, TX
National Provider Identifier
1386265999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SCOLIOAUSTIN PROFESSIONAL LLC
- Practice address
- 1705 S. Capital of Texas Hwy
Ste 130
Austin, TX 78746 - Phone
- (512) 629-4431
- Fax
- (512) 359-7962
- NPI assigned
- May 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marilyn Danielle Vernon, PT
- Title
- Owner
- Phone
- (512) 221-3448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1705 S. Capital of Texas Hwy
Ste 130
Austin, TX 78746
Mailing address
1705 S. Capital of Texas Hwy
Ste 130
Austin, TX 78746
Phone (512) 629-4431
National Provider Directory
National Provider DirectoryLocations
1705 S Capital of Texas Hwy
Ste 130
Austin, TX 78746
Phone (512) 825-8852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1386265999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 S. CAPITAL OF TEXAS HWY",
"address_2": "STE 130",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-629-4431",
"fax_number": "512-359-7962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 S. CAPITAL OF TEXAS HWY",
"address_2": "STE 130",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-629-4431",
"fax_number": "512-359-7962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOLIOAUSTIN PROFESSIONAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-05",
"last_updated": "2024-11-04",
"certification_date": "2020-05-06",
"status": "A",
"authorized_official_last_name": "VERNON",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "DANIELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-221-3448",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"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 Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.