Physician Longevity Institute, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHYSICIAN LONGEVITY INSTITUTE, INC

Practice address

1221 Leander Rd
Georgetown, TX 78628-8707

Phone

(512) 863-4500

NPI assigned

Mar 26, 2008

Last updated

Aug 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary R Albertson, M.D.

Title

Owner

Phone

(512) 863-4500

Specialties & licenses 1

Addresses

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.

• Sheri Albertson, P.T.

  • Physical Therapist
  • Austin, TX
  • NPI 1215146394
  NPD (past)

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1790957090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15943 BOOTH CIR",
            "city": "VOLENTE",
            "state": "TX",
            "postal_code": "786419679",
            "telephone_number": "512-250-9140",
            "fax_number": "512-250-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 LEANDER RD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288707",
            "telephone_number": "512-863-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN LONGEVITY INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "ALBERTSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-863-4500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Peterson
• Gabriela Petrozzi, RN, MSN, CPNP
• Amanda N Petter, PT
• Kimberly Q. Pham, O.D
• Phillips Chiropractic, PLLC (Phillips Chiropractic)
• Physicians Center PA
• Mary Carol Piatt, LPC-ASSOCIATE
• Julia L. Pickel, P.A.
• Steven Geoffery Pickens, MD
• Pie Health, LLC

• Family Medicine Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.