Active NPI
Spine and Rehabilitation Center
- Chiropractor
- Austin, TX
National Provider Identifier
1841208022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Austin, TX
- NPI 1972617470
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Austin, TX
- NPI 1548316706
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.