Organization Active NPI

On the Run Physical Therapy

  • Physical Therapy Clinic/Center
  • Cedar Park, TX
National Provider Identifier
1780392415
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ON THE RUN PHYSICAL THERAPY
Practice address
3621 E Whitestone Blvd Ste 400
Cedar Park, TX 78613-7073
Phone
(815) 622-8879
NPI assigned
Nov 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Samuel Gallardo, DPTNPI 1972951234
Title
Physical Therapist, Owner
Phone
(815) 622-8879

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3621 E Whitestone Blvd Ste 400
Cedar Park, TX 78613-7073

Mailing address

129 Indian Paintbrush TRL
Georgetown, TX 78628-3254
Phone (815) 622-8879

Other practice location 1

129 Indian Paintbrush Trl
Georgetown, TX 78628-3254
Phone (815) 622-8879

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221207002748 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446629802 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Park, TX; Georgetown, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1780392415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 INDIAN PAINTBRUSH TRL",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283254",
            "telephone_number": "815-622-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 E WHITESTONE BLVD STE 400",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137073",
            "telephone_number": "815-622-8879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Indian Paintbrush Trl",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786283254",
            "country_code": "US",
            "telephone_number": "815-622-8879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ON THE RUN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "815-622-8879",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.