Organization Active NPI

Capital Rehabilitation Associates PA

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
National Provider Identifier
1780834325
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
N0126 Issued in TX
Legal business name
CAPITAL REHABILITATION ASSOCIATES PA
Practice address
700 W 45TH St
Austin, TX 78751-2800
Phone
(512) 363-5779
Fax
(512) 292-4458
NPI assigned
Sep 19, 2008
Last updated
Jan 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Dr. Roseanna L Jackson-Parekh, MDNPI 1386807832
Title
Owner
Phone
(512) 363-5779

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 Medicine & Rehabilitation Physician 208100000X N0126 TX Primary

Addresses

Primary practice location

700 W 45TH St
Austin, TX 78751-2800

Mailing address

PO Box 161242
Austin, TX 78716-1242
Phone (512) 363-5779

Other identifiers 1

IdentifierTypeStateIssuer
1386807832OtherTXINDIVIDUAL NPI NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090126000089 TX Part B Supplier - Clinic/Group Practice 2365506086 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

1215 Red River St
Ste 427
Austin, TX 78701
Phone (512) 251-1252

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1780834325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161242",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787161242",
            "telephone_number": "512-363-5779",
            "fax_number": "512-292-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512800",
            "telephone_number": "512-363-5779",
            "fax_number": "512-292-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL REHABILITATION ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON-PAREKH",
        "authorized_official_first_name": "ROSEANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-363-5779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N0126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1386807832",
            "state": "TX"
        }
    ],
    "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 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.