NPIMap

Organization Active NPI

Austin Sports Therapy

  • Sports Physician Chiropractor
  • Austin, TX
National Provider Identifier
1598999682
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
11157 Issued in TX
Legal business name
AUSTIN SPORTS THERAPY
Practice address
5750 Balcones Dr
Suite 117
Austin, TX 78731-4252
Phone
(512) 497-8292
Fax
(512) 519-8809
NPI assigned
May 5, 2009
Last updated
May 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Dr. Jill Lorraine Thomson, D.C., CCSP
Title
Chiropractor
Phone
(512) 407-8292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 11157 TX Primary

Addresses

Primary practice location

5750 Balcones Dr
Suite 117
Austin, TX 78731-4252

Mailing address

5750 Balcones Dr
Suite 117
Austin, TX 78731-4252
Phone (512) 497-8292

National Provider Directory

National Provider Directory
Tax ID family
Austin Sports Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5750 Balcones Dr
Ste 117
Austin, TX 78731
Phone (512) 407-8292

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1598999682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BALCONES DR",
            "address_2": "SUITE 117",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314252",
            "telephone_number": "512-497-8292",
            "fax_number": "512-519-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 BALCONES DR",
            "address_2": "SUITE 117",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314252",
            "telephone_number": "512-497-8292",
            "fax_number": "512-519-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN SPORTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "512-407-8292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "11157",
            "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 May 5, 2009; 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.