Waterfalls Medical Clinic Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6180 Issued in TX

Legal business name

WATERFALLS MEDICAL CLINIC INC.

Practice address

111 W Anderson LN
Suite D217 a
Austin, TX 78752-1132

Phone

(512) 420-8195

NPI assigned

Nov 24, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Glenda Maritza Quinteroz

Title

President

Phone

(512) 300-6213

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1841528130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W ANDERSON LN",
            "address_2": "SUITE D217 A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521132",
            "telephone_number": "512-420-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W ANDERSON LN",
            "address_2": "SUITE D217 A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521132",
            "telephone_number": "512-420-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFALLS MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "QUINTEROZ",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "MARITZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-300-6213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "6180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "6180",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.