Organization Active NPI

Texas Physical Therapy Specialists

  • Durable Medical Equipment & Medical Supplies
  • Lakeway, TX
National Provider Identifier
1447807839
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TEXAS PHYSICAL THERAPY SPECIALISTS
Practice address
101 Medical Parkway
Suite 110
Lakeway, TX 78738
Phone
(512) 879-4343
Fax
(512) 879-4344
NPI assigned
Aug 21, 2019
Last updated
Aug 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Andrew C. BennettNPI 1053428797
Title
Member/Owner
Phone
(830) 625-7310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

101 Medical Parkway
Suite 110
Lakeway, TX 78738

Mailing address

12508 Jones Maltsberger Rd Ste 110
San Antonio, TX 78247-4215
Phone (888) 590-4002

National Provider Directory

National Provider Directory

Locations

101 Medical Pkwy
Ste 110
Lakeway, TX 78738
Phone (512) 879-4343

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1447807839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 JONES MALTSBERGER RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474215",
            "telephone_number": "888-590-4002",
            "fax_number": "210-590-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL PARKWAY",
            "address_2": "SUITE 110",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "78738",
            "telephone_number": "512-879-4343",
            "fax_number": "512-879-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PHYSICAL THERAPY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "830-625-7310"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.