Active NPI
Carly Paben
- Physical Therapy Assistant
- Round Rock, TX
National Provider Identifier
1497177810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2074300
- Practice address
- 2000 S Ih 35
Suite L-2
Round Rock, TX 78681-6900 - Phone
- (512) 388-8904
- Fax
- (512) 287-4214
- NPI assigned
- Jan 21, 2014
- Last updated
- Oct 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2074300 | TX | Primary |
Addresses
Primary practice location
2000 S Ih 35
Suite L-2
Round Rock, TX 78681-6900
Mailing address
1900 Scofield Ridge Pkwy Apt 5202
Austin, TX 78727-1620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2074300 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1497177810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 SCOFIELD RIDGE PKWY APT 5202",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787271620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S IH 35",
"address_2": "SUITE L-2",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786816900",
"telephone_number": "512-388-8904",
"fax_number": "512-287-4214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABEN",
"first_name": "CARLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-21",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2074300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.