Organization Active NPI

Eagle Ward Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Round Rock, TX
National Provider Identifier
1649330507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EAGLE WARD REHABILITATION INC
Practice address
1401 S I H 35
Suite 140
Round Rock, TX 78664-6601
Phone
(512) 238-1155
Fax
(512) 238-7404
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Christopher T Eagle
Title
President
Phone
(512) 732-0102

Specialties & licenses 1

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

Addresses

Primary practice location

1401 S I H 35
Suite 140
Round Rock, TX 78664-6601

Mailing address

5300 Bee Cave Rd
BLDG 1 Suite 100
Austin, TX 78746
Phone (512) 732-0102

National Provider Directory

National Provider Directory

Locations

13450 Research Blvd
Ste 115
Austin, TX 78750
Phone (512) 258-5300

1401 S Interstate 35
Ste 140
Round Rock, TX 78664
Phone (512) 238-1155

Practitioners & affiliated clinicians

Practitioners 4

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.

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": "1598054400000",
    "number": "1649330507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 BEE CAVE RD",
            "address_2": "BLDG 1 SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-732-0102",
            "fax_number": "512-732-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S I H 35",
            "address_2": "SUITE 140",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646601",
            "telephone_number": "512-238-1155",
            "fax_number": "512-238-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE WARD REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EAGLE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-732-0102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.