Active NPI
Alexandra Shideler
- Physical Therapist
- Austin, TX
National Provider Identifier
1538914320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1384582
- Practice address
- 3809 S 2ND St Ste D200
Austin, TX 78704-7191 - Phone
- (512) 441-5100
- NPI assigned
- Apr 23, 2024
- Sex
- Female
- 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 | 1384582 | TX | Primary |
Addresses
Primary practice location
3809 S 2ND St Ste D200
Austin, TX 78704-7191
Mailing address
709 Castle Ridge Rd Apt D
Austin, TX 78746-5178
Phone (219) 241-6394
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 |
|---|---|---|---|
| 1384582 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole Consolidated Rehab LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Cole Pediatric Therapy
- Rehabilitation Clinic/Center
- San Marcos, TX
- NPI 1023328192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1538914320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 CASTLE RIDGE RD APT D",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787465178",
"telephone_number": "219-241-6394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3809 S 2ND ST STE D200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047191",
"telephone_number": "512-441-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIDELER",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-23",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1384582",
"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 Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.