Athletes' Edge Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ATHLETES' EDGE PHYSICAL THERAPY, PLLC

Practice address

4611 Bee Caves Road, Suite 110
Austin, TX 78746

Phone

(512) 481-2777

Fax

(855) 595-1077

NPI assigned

Jan 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Laurel Boyd, PT, DPTNPI 1831744101

Title

Owner

Phone

(512) 466-4602

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.

• Laurel Brynne Boyd, PT, DPT

  • Physical Therapist
  • Austin, TX
  • NPI 1831744101
  NPD Authorized official

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1407508310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 BEE CAVES ROAD, SUITE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-481-2777",
            "fax_number": "855-595-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 BEE CAVES ROAD, SUITE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-481-2777",
            "fax_number": "855-595-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETES' EDGE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2023-10-11",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-466-4602",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Bart G. Atencio, DC
• Ashley Aterno
• Michael Joseph Aterno
• Jeffrey Scott Atherton, DDS
• Carol Freeman Athey, LCSW
• Mary Clement Atillo
• Silvia Atim, LCDC
• Majid Atique, MD
• Kathryn Atkins, LMSW
• Kimberly Atkins

• Physical Therapy Clinic/Center in Austin, TX
• Providers in Austin, 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 Oct 11, 2023; 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.