NPIMap

Organization Active NPI

Eagle Ward Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Austin, TX
National Provider Identifier
1619037629
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
625280002 Issued in TX
Legal business name
EAGLE WARD REHABILITATION, INC
Practice address
9707 Anderson Mill Rd.
Suite 340
Austin, TX 78750-3227
Phone
(512) 258-5300
Fax
(512) 258-4475
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Mr. Christopher Todd Eagle
Title
President
Phone
(512) 258-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 625280002 TX Primary

Addresses

Primary practice location

9707 Anderson Mill Rd.
Suite 340
Austin, TX 78750-3227

Mailing address

9707 Anderson Mill Rd
Suite 340
Austin, TX 78750-3227
Phone (512) 258-5300

National Provider Directory

National Provider Directory
Tax ID family
Eagle Ward Rehabilitation Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1619037629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 ANDERSON MILL RD",
            "address_2": "SUITE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503227",
            "telephone_number": "512-258-5300",
            "fax_number": "512-258-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 ANDERSON MILL RD.",
            "address_2": "SUITE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503227",
            "telephone_number": "512-258-5300",
            "fax_number": "512-258-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE WARD REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "EAGLE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-258-5300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "625280002",
            "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 Apr 19, 2011; 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.