Active NPI
Texas Orthopedics Sports & Rehabilitation Associates PA
- Orthopaedic Surgery Physician
- Lakeway, TX
National Provider Identifier
1477069342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- M8174
- 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
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | M8174 | TX | Primary |
Addresses
Primary practice location
101 Medical Pkwy Ste 120
Lakeway, TX 78738-5647
Mailing address
4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107
Phone (512) 439-1000
National Provider Directory
National Provider DirectoryLocations
101 Medical Pkwy
Ste 120
Lakeway, TX 78738
NPI Registry JSON
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": []
}
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 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.