Austin Athletic Performance and Recovery LLC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

AUSTIN ATHLETIC PERFORMANCE AND RECOVERY LLC

Practice address

12124 Broten St
Austin, TX 78748-3080

Phone

(201) 341-9119

NPI assigned

Apr 23, 2022

Organization subpart

No

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

Authorized official

Name

Dennis Kihlberg, PT, DPTNPI 1376079608

Title

Physical Therapist/Owner

Phone

(201) 341-9119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis Kihlberg

  • Physical Therapist
  • Austin, TX
  • NPI 1376079608
  Medicare reassignment NPD Authorized official
• Kasey Kihlberg, PT, DPT

  • Physical Therapist
  • Austin, TX
  • NPI 1508543463
  NPD

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650672000000",
    "number": "1649914912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12124 BROTEN ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483080",
            "telephone_number": "201-341-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12124 BROTEN ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483080",
            "telephone_number": "201-341-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN ATHLETIC PERFORMANCE AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-23",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A",
        "authorized_official_last_name": "KIHLBERG",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "201-341-9119",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Sports Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.