Organization Active NPI

Physmedics LLC

  • Contractor
  • Austin, TX
National Provider Identifier
1720605116
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
PHYSMEDICS LLC
Practice address
10900 Research Blvd.
Ste 160-C, #3
Austin, TX 78759-5718
Phone
(214) 207-8757
NPI assigned
Jul 1, 2020
Last updated
Jul 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Russell Cischke
Title
Ceo
Phone
(214) 207-8757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X NU Primary

Addresses

Primary practice location

10900 Research Blvd.
Ste 160-C, #3
Austin, TX 78759-5718

Mailing address

10900 Research Blvd.
Ste 160-C, #3
Austin, TX 78759-5718
Phone (214) 207-8757

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1720605116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 RESEARCH BLVD.",
            "address_2": "STE 160-C, #3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595718",
            "telephone_number": "214-207-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 RESEARCH BLVD.",
            "address_2": "STE 160-C, #3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595718",
            "telephone_number": "214-207-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSMEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "CISCHKE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-207-8757"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "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 1, 2020; 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.