Individual provider Active NPI

Joe David Whittemore II, PT, DPT, SCS

  • Physical Therapist
  • West Lake Hills, TX
National Provider Identifier
1629370234
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1200743 Issued in TX
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

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20151214001555 TX Practitioner - Physical Therapist in Private Practice 7012218274 Reassigns benefits to 1 organization

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
Texas Physical Therapy Specialists, IncGroup PAC ID 2567422538, 238 clinicians

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

LicenseStateTypeSpecialty
1200743TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Jul 5, 2016 Accepting new patients
Ignite Performance Physical Therapy LLC Current Accepting new patients
Texas Physical Therapy Specialists CurrentSince Jul 5, 2016 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.

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.

Verify at the official NPI Registry.