Central Athlete

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CENTRAL ATHLETE

Practice address

1023 Springdale Rd BLDG 9B
Austin, TX 78721-2442

Phone

(512) 672-6760

NPI assigned

Sep 15, 2021

Organization subpart

No

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

Authorized official

Name

Jesse Alexander Obrien

Title

Founder and Head Coach

Phone

(512) 680-7783

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1790455343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 SPRINGDALE RD BLDG 9B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787212442",
            "telephone_number": "512-672-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 SPRINGDALE RD BLDG 9B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787212442",
            "telephone_number": "512-672-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ATHLETE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "FOUNDER AND HEAD COACH",
        "authorized_official_telephone_number": "512-680-7783"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center of Carewell Dentistry
• Caylin Marguerite Center, LPC-A
• Centered Counseling and Consulting
• Centex Injury and Worker'S Comp Austin, PLLC
• Centex Spine, LLC
• Central Austin Ambulatory Surgery Center L.P.
• Central Austin Counseling, PLLC
• Central Austin Dermatology, P.a.
• Central Austin Internists
• Central Austin Pediatric Dental, PLLC

• Health Service Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.