Repair Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

REPAIR THERAPY

Practice address

2499 S Capital of Texas Hwy Ste B201
Austin, TX 78746-7758

Phone

(512) 430-1822

NPI assigned

Dec 20, 2017

Organization subpart

No

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

Authorized official

Name

Kathryn Leach

Title

Managing Memeber

Phone

(512) 430-1822

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1669988051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 S CAPITAL OF TEXAS HWY STE B201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 S CAPITAL OF TEXAS HWY STE B201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467758",
            "telephone_number": "512-430-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPAIR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "MANAGING MEMEBER",
        "authorized_official_telephone_number": "512-430-1822"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.