Active NPI
Justin Chavez, MD, PA
- Physical Medicine & Rehabilitation Physician
- Round Rock, TX
National Provider Identifier
1760809917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- JUSTIN CHAVEZ, MD, PA
- Practice address
- 351 Seton Pkwy
Round Rock, TX 78665-8001 - Phone
- (737) 708-9800
- NPI assigned
- Mar 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin C. Chavez, MD
- Title
- Owner
- Phone
- (512) 796-3624
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X |
Addresses
Primary practice location
351 Seton Pkwy
Round Rock, TX 78665-8001
Mailing address
4500 Williams Dr.
Ste 212, Box 163
Georgetown, TX 78633-1329
Phone (737) 708-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4500 Williams Dr
Ste 212
Georgetown, TX 78633
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Round Rock, TX
- NPI 1841470275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726790400000",
"number": "1760809917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 WILLIAMS DR.",
"address_2": "STE 212, BOX 163",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786331329",
"telephone_number": "737-708-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 SETON PKWY",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786658001",
"telephone_number": "737-708-9800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUSTIN CHAVEZ, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-26",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A",
"authorized_official_last_name": "CHAVEZ",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-796-3624",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 20, 2024; 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.