St. David's Physical Medicine and Rehabilitation, PLLC

Primary specialty

Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X

Legal business name

ST. DAVID'S PHYSICAL MEDICINE AND REHABILITATION, PLLC

Practice address

1015 E 32ND St
Suite 306
Austin, TX 78705-2707

Phone

(512) 236-1310

Fax

(512) 236-6963

NPI assigned

Aug 7, 2009

Last updated

Aug 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Rebok

Title

Vice President

Phone

(512) 708-9700

Specialties & licenses 1

Addresses

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.

• Juan M. Latorre, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
  • NPI 1841269263

  Spinal Cord Injury Medicine

  NPD (past)
• Kenneth W. Mitchell, MD

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1578522330
  NPD (past)

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1629209606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 SAN JACINTO BLVD",
            "address_2": "SUITE 1800",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787014082",
            "telephone_number": "512-708-9700",
            "fax_number": "512-482-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "SUITE 306",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052707",
            "telephone_number": "512-236-1310",
            "fax_number": "512-236-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. DAVID'S PHYSICAL MEDICINE AND REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "REBOK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "512-708-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. David's Healthcare Partnership, L.P., LLP (St Davids Emergency Center-East Riverside, a department of St. David's Medical Center)
• St. David's Healthcare Partnership, L.P., LLP (St David's Emergency Center - Arboretum, a department of St. David's North Austin Medical Center)
• St. David's Healthcare Partnership, L.P., LLP (North Austin Medical Center)
• St. David's Medical Center
• St. David's Ortho, Neuro and Rehab, PLLC
• St. David's Specialized Women's Services, PLLC
• St. Davids Healthcare Partnership LP LLP (St. David's South Austin Medical Center)
• St. Davids Healthcare Partnership LP LLP (St. Davids Rehabilitation Center)
• St. Davids Healthcare Partnership, L.P., LLP
• St. Davids Healthcare Partnership, L.P., LLP (Heart Hospital of Austin)

• Spinal Cord Injury Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Spinal Cord Injury Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.