Active NPI
Justin Thai, DPT
- Physical Therapist
- Bastrop, TX
National Provider Identifier
1508499740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1328851
- Practice address
- 623 Highway 71 W Ste 100
Bastrop, TX 78602-4166 - Phone
- (512) 321-9659
- Fax
- (512) 321-1226
- NPI assigned
- Feb 17, 2020
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 1328851 | TX | Primary |
Addresses
Primary practice location
623 Highway 71 W Ste 100
Bastrop, TX 78602-4166
Mailing address
623 Highway 71 W Ste 100
Bastrop, TX 78602-4166
Phone (512) 321-9659
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1328851 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1508499740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 HIGHWAY 71 W STE 100",
"city": "BASTROP",
"state": "TX",
"postal_code": "786024166",
"telephone_number": "512-321-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 HIGHWAY 71 W STE 100",
"city": "BASTROP",
"state": "TX",
"postal_code": "786024166",
"telephone_number": "512-321-9659",
"fax_number": "512-321-1226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAI",
"first_name": "JUSTIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-17",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1328851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.