Individual provider Active NPI

Tyra Lea, MPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1487226619
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1347669 Issued in TX
Practice address
6911 RR 620 N Ste B-200
Austin, TX 78732-1920
Phone
(512) 467-4546
NPI assigned
Jul 16, 2021
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1347669 TX Primary

Addresses

Primary practice location

6911 RR 620 N Ste B-200
Austin, TX 78732-1920

Mailing address

1033 La Posada Dr Ste 230
Austin, TX 78752-3842
Phone (512) 284-7192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824000058 TX Practitioner - Physical Therapist in Private Practice 5395108328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

210 Ed Schmidt Hwy
Suite 250
Hutto, TX 78634-5796
Phone (512) 642-9101

Merit-based Incentive Payment System (MIPS)

Final score
74.64 of 100Reported as group
Quality
46.1
Promoting interoperability
92
Improvement activities
40
Cost
76.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1347669TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince May 7, 2023 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince May 7, 2023 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist PastSince Jul 25, 2021 Accepting new patients

Locations

1033 La Posada Dr
Ste 230
Austin, TX 78752
Phone (512) 284-7192

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

6911 Ranch Road 620 N
Bldg B-201
Austin, TX 78732
Phone (512) 467-4546

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

210 Ed Schmidt Blvd
Ste 250
Hutto, TX 78634
Phone (512) 642-9101

16020 Park Valley Dr
Round Rock, TX 78681
Phone (512) 244-0766

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1487226619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 LA POSADA DR STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523842",
            "telephone_number": "512-284-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 RR 620 N STE B-200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787321920",
            "telephone_number": "512-467-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEA",
        "first_name": "TYRA",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1347669",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.