Jackie West Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

JACKIE WEST PHYSICAL THERAPY

Doing business as

Bravo Austin Concierge Physical Therapy

Practice address

6618 Sitio del Rio Blvd Ste D103
Austin, TX 78730-1148

Phone

(512) 222-7787

Fax

(512) 566-3042

NPI assigned

Oct 27, 2023

Last updated

Oct 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline C West, PT, DPT, FAAOMPT

Title

Owner, Physical Therapist

Phone

(512) 222-7787

Specialties & licenses 1

Addresses

Other names 1

• Bravo Austin Concierge Physical Therapy Doing business as

Practitioners 1

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.

• Jacqueline Stine, PT,DPT

  • Orthopedic Physical Therapist
  • Austin, TX
  • NPI 1710427935
  NPD

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1669244034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13359 N HIGHWAY 183",
            "address_2": "STE 406 PMB 2036",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 SITIO DEL RIO BLVD STE D103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301148",
            "telephone_number": "512-222-7787",
            "fax_number": "512-566-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE WEST PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "512-222-7787",
        "authorized_official_credential": "PT, DPT, FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bravo Austin Concierge Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bravo Austin Concierge Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jack Jones Hearing Centers, Inc. (AudioNova)
• Jack Moncrief Group, PA
• Jack Pierce,MD PLLC
• Christina Jack
• Jessica Ann Jackel, DACCHM, L.AC.
• Jackman Eye
• Gerald Jacknow, M.D.
• Mallory Jacks, CD
• James Morgan Jackson Burns, LPC
• Jackson PK, LLC

• Physical Therapy Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.