Individual provider Active NPI

James Robert Conwell, ATP, SMS

  • Other Technician
  • Austin, TX
National Provider Identifier
1508131582
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Practice address
11110 Metric Blvd Ste a
Austin, TX 78758-4097
Phone
(737) 343-2424
NPI assigned
Mar 9, 2012
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 247200000X TX
Other Technician 247200000X Primary

Addresses

Primary practice location

11110 Metric Blvd Ste a
Austin, TX 78758-4097

Mailing address

11110 Metric Blvd Ste a
Austin, TX 78758-4097
Phone (512) 738-8818

Other names 1

  • Mr. James Robert Conwell Other name

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

LicenseStateTypeSpecialty
247200000XTXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Wheelchair, LLC CurrentSince Nov 12, 2023 Accepting new patients

Locations

11110 Metric Blvd
Ste A
Austin, TX 78758
Phone (512) 201-7926

Organizations & group practices 1

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": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1508131582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 METRIC BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584097",
            "telephone_number": "512-738-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 METRIC BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584097",
            "telephone_number": "737-343-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWELL",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "ATP, SMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-09",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "247200000X",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "CONWELL",
            "middle_name": "ROBERT",
            "prefix": "MR.",
            "credential": "ATP, CRTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 6, 2023; 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.