University Spine & Sports Medicine Inc

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

9663 Issued in TX

Legal business name

UNIVERSITY SPINE & SPORTS MEDICINE INC

Practice address

2911 Medical Arts St.
#13
Austin, TX 78705-3302

Phone

(512) 600-4848

Fax

(512) 628-0182

NPI assigned

Jan 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Elena Villanueva Olcott, DC

Title

President

Phone

(512) 600-4848

Specialties & licenses 3

Addresses

Other names 1

• ELENA VILLANUEVA OLCOTT Other name

Tax ID family

Elena Villanueva Olcott2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• University Spine & Sports Medicine Inc

  • Chiropractor
  • Round Rock, TX
  • NPI 1902038177
  NPD tax ID

Locations

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1760620686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST.",
            "address_2": "#13",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053302",
            "telephone_number": "512-600-4848",
            "fax_number": "512-628-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST.",
            "address_2": "#13",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053302",
            "telephone_number": "512-600-4848",
            "fax_number": "512-628-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY SPINE & SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "OLCOTT",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "VILLANUEVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-600-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "TX",
            "license": "9759",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "9663",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELENA VILLANUEVA OLCOTT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• University of Texas at Austin Office of Acctg
• University of Texas Medical Branch, Austin Initiatives at Utmb
• University of Texas Southwestern Medical Center at Dallas
• University of Texas University Health Services
• University of Texas Universtiy Health Services
• Unmuck LLC
• Athira Unnikrishnan, MD
• Bradford Wilfredo Unroe, MD
• Todd Unruh
• Unscripted Counseling & Consulting, PLLC

• Rehabilitation Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.