Organization Active NPI

Spine and Rehabilitation Center

  • Chiropractor
  • Austin, TX
National Provider Identifier
1841208022
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINE AND REHABILITATION CENTER
Practice address
3724 Executive Center Dr
Suite G-10
Austin, TX 78731-1646
Phone
(512) 345-5925
Fax
(512) 343-7113
NPI assigned
Aug 4, 2006
Last updated
Aug 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Jodi Atchley
Title
Chief Operating Officer
Phone
(512) 345-5935

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Chiropractor 111N00000X Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
Physical Therapist 225100000X

Addresses

Primary practice location

3724 Executive Center Dr
Suite G-10
Austin, TX 78731-1646

Mailing address

3724 Executive Center Dr
Suite G-10
Austin, TX 78731-1646
Phone (512) 345-5925

National Provider Directory

National Provider Directory

Locations

11149 Research Blvd
Ste 300
Austin, TX 78759

4029 S Capital of Texas Hwy
Ste 111
Austin, TX 78704
Phone (512) 448-0995

2000 S Mays St
Ste 305
Round Rock, TX 78664
Phone (512) 336-4030

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1841208022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 EXECUTIVE CENTER DR",
            "address_2": "SUITE G-10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311646",
            "telephone_number": "512-345-5925",
            "fax_number": "512-343-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 EXECUTIVE CENTER DR",
            "address_2": "SUITE G-10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311646",
            "telephone_number": "512-345-5925",
            "fax_number": "512-343-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "ATCHLEY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "512-345-5935"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 14, 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.