NPIMap

Organization Active NPI

Easter Seals Central Texas, Inc.

  • Early Intervention Provider Agency
  • Austin, TX
National Provider Identifier
1457691859
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1020550 Issued in TX
Legal business name
EASTER SEALS CENTRAL TEXAS, INC.
Practice address
8505 Cross Park Dr Ste 120
Austin, TX 78754
Phone
(512) 615-6800
NPI assigned
Feb 21, 2013
Last updated
Jul 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Authorized official

Name
Mia Martin
Title
Cfo
Phone
(512) 615-6811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1020550 TX Primary

Addresses

Primary practice location

8505 Cross Park Dr Ste 120
Austin, TX 78754

Mailing address

8505 Cross Park Dr Ste 120
Austin, TX 78754-4552
Phone (512) 615-6800

Other identifiers 1

IdentifierTypeStateIssuer
021286204MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Central Te5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8505 Cross Park Dr
Ste 120
Austin, TX 78754
Phone (512) 615-6800

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1457691859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 CROSS PARK DR STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787544552",
            "telephone_number": "512-615-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 CROSS PARK DR STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78754",
            "telephone_number": "512-615-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS CENTRAL TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-615-6811"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "TX",
            "license": "1020550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021286204",
            "state": "TX"
        }
    ],
    "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 Jul 5, 2018; 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.