Austin Matthew Creel, PT, DPT, CERT. DN

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1294850 Issued in TX

Practice address

4635 NE Stallings Dr Ste 104
Nacogdoches, TX 75965-1667

Phone

(936) 305-3354

Fax

(936) 305-3990

NPI assigned

Oct 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Texas Medical Branch at Galveston, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creel Physical TherapyGroup PAC ID 2365832938, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Creel Physical Therapy

  • Physical Therapy Clinic/Center
  • Nacogdoches, TX
  • NPI 1972267888

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1609539196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 NE STALLINGS DR STE 104",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651667",
            "telephone_number": "936-305-3354",
            "fax_number": "936-305-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 NE STALLINGS DR STE 104",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651667",
            "telephone_number": "936-305-3354",
            "fax_number": "936-305-3990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 County Road 915",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759644224",
            "country_code": "US",
            "telephone_number": "936-556-0132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREEL",
        "first_name": "AUSTIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CERT. DN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2023-03-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1294850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Sessions M.D.P.a
• Bailey Craig, COTA
• Chase Crawford, CPHT
• Holly Rebecca Crawford, COSMETOLOGIST
• Creel Physical Therapy
• Jesse Bryan Creel, MSN, FNP-C
• Jennifer Criss, DDS
• Mary Crocker, CCC/SLP
• Crossover Counseling
• Michael Lee Crowell, PTA

• Physical Therapist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.