Individual provider Active NPI

Anthony William Lauretta, DPT

  • Physical Therapist
  • Cedar Park, TX
National Provider Identifier
1568758068
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1206622 Issued in TX
Practice address
1103 Cypress Creek Rd
Suite 103
Cedar Park, TX 78613-3924
Phone
(512) 918-0044
Fax
(512) 918-0045
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1206622 TX Primary

Addresses

Primary practice location

1103 Cypress Creek Rd
Suite 103
Cedar Park, TX 78613-3924

Mailing address

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247-4215
Phone (210) 590-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130529000581 TX Practitioner - Physical Therapist in Private Practice 4385882547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physical Therapy Specialists, IncGroup PAC ID 2567422538, 238 clinicians

Practice addresses (Care Compare)

6501 S Congress Ave
Suite 301
Austin, TX 78745-4483
Phone (512) 270-2060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1206622TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Jan 1, 2016 Accepting new patients
Sarol Ventures LLC Physical Therapist CurrentSince Mar 27, 2022 Accepting new patients

Locations

4532 West Gate Blvd
Ste 100
Austin, TX 78745
Phone (512) 892-7337

10526 W Parmer Ln
Ste 403
Austin, TX 78717
Phone (512) 900-3302

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

6501 S Congress Ave
Ste 301
Austin, TX 78745
Phone (512) 270-2060

1103 Cypress Creek Rd
Ste 103
Cedar Park, TX 78613
Phone (512) 918-0044

109 Cypress Creek Rd
Ste B1
Cedar Park, TX 78613
Phone (512) 918-0044

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

1700 E Palm Valley Blvd
Ste 395
Round Rock, TX 78664
Phone (512) 354-4067

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

17325 Bell North Dr
Ste 2B
Schertz, TX 78154
Phone (662) 315-3571

Organizations & group practices 3

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1568758068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 JONES MALTSBERGER RD",
            "address_2": "STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474215",
            "telephone_number": "210-590-4000",
            "fax_number": "512-918-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CYPRESS CREEK RD",
            "address_2": "SUITE 103",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133924",
            "telephone_number": "512-918-0044",
            "fax_number": "512-918-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURETTA",
        "first_name": "ANTHONY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1206622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.