Individual provider Active NPI

Tara Jane Marie Trowbridge, DC, MS

  • Chiropractor
  • Austin, TX
National Provider Identifier
1689370058
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15473 Issued in TX
Practice address
11200 Menchaca Rd Ste 303
Austin, TX 78748-2761
Phone
(956) 543-5829
NPI assigned
Feb 6, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15473 TX Primary

Addresses

Primary practice location

11200 Menchaca Rd Ste 303
Austin, TX 78748-2761

Mailing address

11200 Menchaca Rd Ste 303
Austin, TX 78748-2761
Phone (956) 543-5829

Other practice location 1

7413 Old Bee Caves Rd
Austin, TX 78735-8234
Phone (512) 892-2160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231017001964 TX Practitioner - ChiropracticPractitioner - Neurology 9436504081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Neurology
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11200 Menchaca Rd
Suite 303
Austin, TX 78748-2761
Phone (956) 543-5829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15473TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stakes Chiropractic Center Chiropractor CurrentSince Feb 1, 2023 Accepting new patients
Trowbridge Chiropractic Clinic, LLC CurrentSince Jun 28, 2023 Accepting new patients

Locations

11200 Menchaca Rd
Ste 303
Austin, TX 78748
Phone (956) 543-5829

7413 Old Bee Caves Rd
Austin, TX 78735
Phone (512) 288-7100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1689370058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 MENCHACA RD STE 303",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482761",
            "telephone_number": "956-543-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 MENCHACA RD STE 303",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482761",
            "telephone_number": "956-543-5829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7413 Old Bee Caves Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358234",
            "country_code": "US",
            "telephone_number": "512-892-2160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROWBRIDGE",
        "first_name": "TARA",
        "middle_name": "JANE MARIE",
        "name_prefix": "Dr.",
        "credential": "DC, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.