Organization Active NPI

Scolioaustin Professional LLC

  • Physical Therapy Clinic/Center
  • Austin, TX
National Provider Identifier
1386265999
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Nov 4, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.