Individual provider Active NPI

Rachel Sedlacek Yang, PT, DPT

  • Pediatric Physical Therapist
  • Austin, TX
National Provider Identifier
1558829929
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1332588 Issued in TX
Practice address
7801 N Lamar Blvd Ste A114
Austin, TX 78752-1049
Phone
(512) 646-4673
Fax
(512) 729-0320
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PTH9292 AL
Pediatric Physical Therapist 2251P0200X 1332588 TX Primary

Addresses

Primary practice location

7801 N Lamar Blvd Ste A114
Austin, TX 78752-1049

Mailing address

7801 N Lamar Blvd Ste A114
Austin, TX 78752-1049
Phone (512) 646-4673

Other practice location 1

3600 Ridgeway Dr
Homewood, AL 35209-5501
Phone (205) 778-5300

Other practice location 2

706A W Ben White Blvd Ste 150A
Austin, TX 78704-7237
Phone (512) 441-5100

Other practice location 3

1208 3rd Ave S
Birmingham, AL 35233-1311
Phone (205) 638-6289

Other names 1

  • Rachel Leanna Sedlacek Former 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
PTH9292ALMDPediatric Physical Therapist
1332588TXMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Consolidated Rehab LLC PastSince Jul 1, 2020 Accepting new patients
The Children'S Hospital of Alabama Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1558829929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR BLVD STE A114",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521049",
            "telephone_number": "512-646-4673",
            "fax_number": "512-729-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR BLVD STE A114",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521049",
            "telephone_number": "512-646-4673",
            "fax_number": "512-729-0320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Ridgeway Dr",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "AL",
            "postal_code": "352095501",
            "country_code": "US",
            "telephone_number": "205-778-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "706A W Ben White Blvd Ste 150A",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787047237",
            "country_code": "US",
            "telephone_number": "512-441-5100",
            "fax_number": "512-441-5108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1208 3rd Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331311",
            "country_code": "US",
            "telephone_number": "205-638-6289",
            "fax_number": "205-638-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "RACHEL",
        "middle_name": "SEDLACEK",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AL",
            "license": "PTH9292",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1332588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SEDLACEK",
            "middle_name": "LEANNA",
            "code": "1",
            "type": "Former 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 Apr 11, 2022; 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.