The Kollective Medical, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE KOLLECTIVE MEDICAL, LLC

Practice address

200 Academy Dr
Austin, TX 78704-1870

Phone

(512) 971-4394

NPI assigned

Jul 2, 2021

Organization subpart

Yes

Parent organization

AFMA INCAs reported in NPPES

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

Authorized official

Name

Dr. Daniel D Spaulding, PT, DPT

Title

Managing Partner

Phone

(512) 971-4394

Specialties & licenses 1

Addresses

Part of

The Kollective Medical LLC

Locations

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.

• Alexis Griffin, PT, DPT, SCS, ATC

  • Sports Physical Therapist
  • Austin, TX
  • NPI 1144655549
  NPD

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1700457561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ACADEMY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ACADEMY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041870",
            "telephone_number": "512-971-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KOLLECTIVE MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFMA INC",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "512-971-4394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.