Organization Active NPI

Austin Sports Physical Therapy

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1659943405
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AUSTIN SPORTS PHYSICAL THERAPY
Practice address
611 S Congress Ave Ste 205B
Austin, TX 78704-8706
Phone
(512) 695-1244
NPI assigned
Jul 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Dr. Phillip L Davis, DPTNPI 1073703203
Title
Owner, PT
Phone
(512) 695-1244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

611 S Congress Ave Ste 205B
Austin, TX 78704-8706

Mailing address

PO Box 41465
Austin, TX 78704-0025
Phone (512) 695-1244

National Provider Directory

National Provider Directory

Locations

611 S Congress Ave
Ste 205B
Austin, TX 78704
Phone (512) 695-1244

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1659943405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41465",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787040025",
            "telephone_number": "512-695-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CONGRESS AVE STE 205B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048706",
            "telephone_number": "512-695-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN SPORTS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "512-695-1244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.