Active NPI
Joe David Whittemore II, PT, DPT, SCS
- Physical Therapist
- West Lake Hills, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1200743
- Practice address
- 4300 Westbank Dr
Suite 210
West Lake Hills, TX 78746-6547 - Phone
- (512) 306-8071
- Fax
- (512) 306-8518
- NPI assigned
- Dec 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 1200743 | TX | Primary |
Addresses
Primary practice location
4300 Westbank Dr
Suite 210
West Lake Hills, TX 78746-6547
Mailing address
4300 Westbank Dr
Suite 210
West Lake Hills, TX 78746-6547
Phone (512) 306-8071
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1324 E Common St
Suite 307
New Braunfels, TX 78130-3566
Phone (830) 625-7310
4300 Westbank Dr
Suite 210
West Lake Hills, TX 78746-6624
Phone (512) 306-8071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1200743 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Physical Therapy Specialists, Inc. | Physical Therapist | Current | Accepting new patients |
| Ignite Performance Physical Therapy LLC | Current | Accepting new patients | |
| Texas Physical Therapy Specialists | Current | Accepting new patients |
Locations
11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863
101 Medical Pkwy
Ste 110
Lakeway, TX 78738
Phone (512) 879-4343
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
17325 Bell North Dr
Ste 2B
Schertz, TX 78154
Phone (662) 315-3571
4300 Westbank Dr
Ste 210
West Lake Hills, TX 78746
Phone (512) 306-8071
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 and National Provider Directory roles.
-
- Physical Therapist
- New Braunfels, TX
- NPI 1689781338
-
- Physical Therapy Clinic/Center
- Austin, TX
- NPI 1730066796
-
- 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": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1629370234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 WESTBANK DR",
"address_2": "SUITE 210",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466547",
"telephone_number": "512-306-8071",
"fax_number": "512-306-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 WESTBANK DR",
"address_2": "SUITE 210",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466547",
"telephone_number": "512-306-8071",
"fax_number": "512-306-8518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTEMORE",
"first_name": "JOE",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PT, DPT, SCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-02",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1200743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.