Organization Active NPI

DRMC Rehab PLLC

  • Physical Medicine & Rehabilitation Physician
  • Round Rock, TX
National Provider Identifier
1730674920
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DRMC REHAB PLLC
Practice address
1400 Hesters Crossing Rd
Round Rock, TX 78681-8025
Phone
(314) 724-5755
Fax
(570) 366-5032
NPI assigned
Jun 29, 2018
Last updated
Jun 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Ryan Coughlan, MDNPI 1396004057
Title
Owner
Phone
(314) 724-5755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

1400 Hesters Crossing Rd
Round Rock, TX 78681-8025

Mailing address

11000 Bruneau TRL
Austin, TX 78754-5705
Phone (314) 724-5755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180723001210 TX Part B Supplier - Clinic/Group Practice 5597012591 Receives reassigned benefits from 1 practitioner
Practice locations: Harker Heights, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1730674920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 BRUNEAU TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545705",
            "telephone_number": "314-724-5755",
            "fax_number": "570-366-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HESTERS CROSSING RD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786818025",
            "telephone_number": "314-724-5755",
            "fax_number": "570-366-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRMC REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "COUGHLAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-724-5755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.