Active NPI
Erin Chisholm, LMT
- Mechanotherapist
- Austin, TX
National Provider Identifier
1518146349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MT031541
- Practice address
- 5758 Balcones Dr Ste 105
Austin, TX 78731-4272 - Phone
- (512) 924-6372
- NPI assigned
- Oct 29, 2007
- Last updated
- Oct 29, 2007
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MT031541 | TX | Primary |
Addresses
Primary practice location
5758 Balcones Dr Ste 105
Austin, TX 78731-4272
Mailing address
13115 Boomer LN
Austin, TX 78729-7430
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 |
|---|---|---|---|
| MT031541 | TX | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1518146349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13115 BOOMER LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787297430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5758 BALCONES DR STE 105",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314272",
"telephone_number": "512-924-6372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISHOLM",
"first_name": "ERIN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-29",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "TX",
"license": "MT031541",
"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 Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.