Active NPI
Mark Uridel, DPT
- Physical Therapist
- Austin, TX
National Provider Identifier
1831743939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1121085
- Practice address
- 2500 W William Cannon Dr Ste 409
Austin, TX 78745-5290 - Phone
- (512) 852-8434
- Fax
- (512) 852-8435
- NPI assigned
- Jul 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1121085 | TX | Primary |
Addresses
Primary practice location
2500 W William Cannon Dr Ste 409
Austin, TX 78745-5290
Mailing address
2500 W William Cannon Dr Ste 409
Austin, TX 78745-5290
Phone (512) 852-8434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1121085 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564876800000",
"number": "1831743939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W WILLIAM CANNON DR STE 409",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787455290",
"telephone_number": "512-852-8434",
"fax_number": "512-852-8435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W WILLIAM CANNON DR STE 409",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787455290",
"telephone_number": "512-852-8434",
"fax_number": "512-852-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URIDEL",
"first_name": "MARK",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-26",
"last_updated": "2019-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1121085",
"primary": true
}
],
"identifiers": [],
"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 Aug 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.