Texas Orthopedics Sports & Rehabilitation Associates PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

M8174 Issued in TX

Legal business name

TEXAS ORTHOPEDICS SPORTS & REHABILITATION ASSOCIATES PA

Practice address

101 Medical Pkwy Ste 120
Lakeway, TX 78738-5647

Phone

(512) 439-1000

Fax

(512) 439-1081

NPI assigned

Dec 14, 2017

Last updated

May 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Kinman

Title

Cfo

Phone

(512) 439-1011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1477069342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594107",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL PKWY STE 120",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787385647",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ORTHOPEDICS SPORTS & REHABILITATION ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "KINMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-439-1011"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M8174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Sunde, MSN, APNP, FNP-C
• Supriya Ailnani PLLC
• Krithika Suresh, MD
• Ashley Marie Taylor, OTR, OTD
• David Dean Teuscher, M.D.
• Texas Physical Therapy Specialists
• Texas Wellness & Trauma Recovery, PLLC (Texas Wellness Therapy)
• The Brain and Body Health Institute, P.a.
• The Harbor at Lakeway
• The Volt Chiropractic

• Orthopaedic Surgery Physician in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.