NPIMap

Organization Active NPI

Texas Physical Therapy Specialist

  • Physical Therapist
  • Cedar Park, TX
National Provider Identifier
1649667338
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1254140 Issued in TX
Legal business name
TEXAS PHYSICAL THERAPY SPECIALIST
Practice address
1103 Cypress Creek Rd
Suite 103
Cedar Park, TX 78613-3924
Phone
(512) 918-0044
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Larry Benz, PT
Title
Ceo
Phone
(502) 442-7697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1254140 TX Primary

Addresses

Primary practice location

1103 Cypress Creek Rd
Suite 103
Cedar Park, TX 78613-3924

Mailing address

1103 Cypress Creek Rd
Suite 103
Cedar Park, TX 78613-3924
Phone (512) 918-0044

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1649667338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CYPRESS CREEK RD",
            "address_2": "SUITE 103",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133924",
            "telephone_number": "512-918-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CYPRESS CREEK RD",
            "address_2": "SUITE 103",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133924",
            "telephone_number": "512-918-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PHYSICAL THERAPY SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "BENZ",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-442-7697",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1254140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.