Active NPI
Hunter Sparks, PT, DPT
- Physical Therapist
- Hutto, TX
National Provider Identifier
1649001710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1395675
- Practice address
- 567 Chris Kelley Blvd
Hutto, TX 78634-2085 - Phone
- (567) 846-6550
- NPI assigned
- Aug 12, 2024
- 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 | 1395675 | TX | Primary |
Addresses
Primary practice location
567 Chris Kelley Blvd
Hutto, TX 78634-2085
Mailing address
3600 N a W Grimes Blvd Apt 6308
Round Rock, TX 78665-2758
Phone (832) 818-6433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1395675 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1649001710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 N A W GRIMES BLVD APT 6308",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786652758",
"telephone_number": "832-818-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 CHRIS KELLEY BLVD",
"city": "HUTTO",
"state": "TX",
"postal_code": "786342085",
"telephone_number": "567-846-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "HUNTER",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1395675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.