Individual provider Active NPI

Caroline Adrien Pauls, PTA

  • Physical Therapy Assistant
  • Austin, TX
National Provider Identifier
1770298176
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
30174 Issued in FL
Practice address
8305 Shoal Creek Blvd
Austin, TX 78757-7525
Phone
(512) 729-5322
NPI assigned
Jan 19, 2023
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 30174 FL Primary

Addresses

Primary practice location

8305 Shoal Creek Blvd
Austin, TX 78757-7525

Mailing address

335 N Fletcher Ave
Fernandina Beach, FL 32034-2112
Phone (321) 527-9748

Other practice location 1

2639 W Sr 434
Longwood, FL 32779-4878
Phone (321) 527-9748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30174FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1770298176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 N FLETCHER AVE",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320342112",
            "telephone_number": "321-527-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 SHOAL CREEK BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577525",
            "telephone_number": "512-729-5322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2639 W SR 434",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327794878",
            "country_code": "US",
            "telephone_number": "321-527-9748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULS",
        "first_name": "CAROLINE",
        "middle_name": "ADRIEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "30174",
            "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 Jan 19, 2023; 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.