Active NPI
Anthony William Lauretta, DPT
- Physical Therapist
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1206622
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1206622 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Physical Therapy Specialists, Inc. | Physical Therapist | Current | Accepting new patients |
| Texas Physical Therapy Specialists | Current | Accepting new patients | |
| Sarol Ventures LLC | Physical Therapist | Current | 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.
-
dba Texas Physical Therapy Specialists
- Physical Therapist
- New Braunfels, TX
- NPI 1689781338
-
dba FYZICAL Therapy & Balance Centers - Round Rock
- Physical Therapy Clinic/Center
- Round Rock, TX
- NPI 1871242032
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Austin, TX
- NPI 1568049484
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.