Active NPI
Iain Macgregor, PT
- Orthopedic Physical Therapist
- Lakeway, TX
National Provider Identifier
1831455013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1212185
- Practice address
- 106 Tellus St
Lakeway, TX 78734-3829 - Phone
- (512) 618-0737
- Fax
- (512) 521-0761
- NPI assigned
- Apr 2, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1212185 | TX | Primary |
Addresses
Primary practice location
106 Tellus St
Lakeway, TX 78734-3829
Mailing address
106 Tellus St
Lakeway, TX 78734-3829
Phone (512) 618-0737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170921002636 | TX | Practitioner - Physical Therapist in Private Practice | 9830462225 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
106 Tellus St
Lakeway, TX 78734-3829
Phone (512) 618-0737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeway Sports Physical Therapy | Orthopedic | Current | Accepting new patients |
Locations
2501 Ranch Road 620 S
Ste 140
Lakeway, TX 78738
Phone (512) 527-6944
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1831455013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 TELLUS ST",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787343829",
"telephone_number": "512-618-0737",
"fax_number": "512-521-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 TELLUS ST",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787343829",
"telephone_number": "512-618-0737",
"fax_number": "512-521-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACGREGOR",
"first_name": "IAIN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-02",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1212185",
"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 Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.