Active NPI
Physical Rehab PLLC
- Physical Medicine & Rehabilitation Physician
- Lakeway, TX
National Provider Identifier
1780490680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- PHYSICAL REHAB PLLC
- Practice address
- 200 Medical Pkwy Ste 110
Lakeway, TX 78738-1792 - Phone
- (512) 654-0150
- NPI assigned
- Dec 5, 2024
- 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
- Farheen Arshia Khan, DO
- Title
- Owner
- Phone
- (504) 251-1108
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
200 Medical Pkwy Ste 110
Lakeway, TX 78738-1792
Mailing address
12856 N Hwy 183 Ste B2024
Austin, TX 78750-3222
Phone (504) 251-1108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12856 N Highway 183
Ste B2024
Austin, TX 78750
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Lakeway, TX
- NPI 1659532471
-
- Family Nurse Practitioner
- Round Rock, TX
- NPI 1689118390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1780490680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12856 N HWY 183 STE B2024",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787503222",
"telephone_number": "504-251-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL PKWY STE 110",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787381792",
"telephone_number": "512-654-0150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL REHAB PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "FARHEEN",
"authorized_official_middle_name": "ARSHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "504-251-1108",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.