NPIMap

Organization Active NPI

Whitestone Physical Therapy LP

  • Physical Therapy Clinic/Center
  • Cedar Park, TX
National Provider Identifier
1487905170
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WHITESTONE PHYSICAL THERAPY LP
Practice address
715 Discovery Blvd Ste 411
Cedar Park, TX 78613-2417
Phone
(512) 260-9600
Fax
(512) 260-9601
NPI assigned
Sep 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Daniel R Meredith, PT, DPT, LATNPI 1477764447
Title
Owner/Physical Therapist
Phone
(512) 260-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

715 Discovery Blvd Ste 411
Cedar Park, TX 78613-2417

Mailing address

5120 Woodway Dr
# 10001
Houston, TX 77056-1723
Phone (713) 572-9000

Other identifiers 2

IdentifierTypeStateIssuer
1487905170OtherTXBLUE CROSS BLUE SHIELD
1487905170MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130116000166 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971756396 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Cedar Park, TX; Leander, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Whitestone Phys Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

700 E Whitestone Blvd
Ste 105
Cedar Park, TX 78613
Phone (512) 260-9600

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1487905170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 WOODWAY DR",
            "address_2": "# 10001",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561723",
            "telephone_number": "713-572-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DISCOVERY BLVD STE 411",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132417",
            "telephone_number": "512-260-9600",
            "fax_number": "512-260-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESTONE PHYSICAL THERAPY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "512-260-9600",
        "authorized_official_credential": "PT, DPT, LAT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1487905170",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487905170",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.