Organization Active NPI

Affiliated Therapy Group Practice, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Corpus Christi, TX
National Provider Identifier
1801935838
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AFFILIATED THERAPY GROUP PRACTICE, INC.
Practice address
4738 South Padre Island Drive
Corpus Christi, TX 78411
Phone
(361) 853-6100
Fax
(361) 853-6106
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lynn Marie Schauster, DPTNPI 1154390722
Title
Vice-President
Phone
(361) 853-6100

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4738 South Padre Island Drive
Corpus Christi, TX 78411

Mailing address

4738 South Padre Island Drive
Corpus Christi, TX 78411
Phone (361) 853-6100

Other identifiers 1

IdentifierTypeStateIssuer
1824625MedicaidTX

Other names 1

  • FUNCTIONAL FOOT FITNESS Doing business as

National Provider Directory

National Provider Directory

Locations

4738 S Padre Island Dr
Corpus Christi, TX 78411
Phone (361) 853-6100

Practitioners & affiliated clinicians

Practitioners 7

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801935838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 SOUTH PADRE ISLAND DRIVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78411",
            "telephone_number": "361-853-6100",
            "fax_number": "361-853-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4738 SOUTH PADRE ISLAND DRIVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78411",
            "telephone_number": "361-853-6100",
            "fax_number": "361-853-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED THERAPY GROUP PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHAUSTER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "361-853-6100",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1824625",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FUNCTIONAL FOOT FITNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.