Gabriel Dunham

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1309149 Issued in TX

Practice address

15201 Burnet Rd BLDG D
Austin, TX 78728-3505

Phone

(737) 259-6850

Fax

(833) 536-1744

NPI assigned

May 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Movement & Performance Physical Therapy

  • Sports Physical Therapist
  • Austin, TX
  • NPI 1033732714
  NPD Authorized official
• Movement & Performance Physical Therapy

  • Sports Physical Therapist
  • Austin, TX
  • NPI 1558093310
  NPD Authorized official

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1841781309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 EVERGLADES CV",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345119",
            "telephone_number": "512-721-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 BURNET RD BLDG D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787283505",
            "telephone_number": "737-259-6850",
            "fax_number": "833-536-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1309149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dungarvin Texas, LLC
• Dungarvin Texas, LLC
• Dungarvin Texas, LLC
• Karissa Lavelle Dungy, MSN, APRN, PMHNP- BC
• Cornelia Dunham, LAC
• Jean Anderson Dunham, M.D.
• Maritza Duniya, SLP
• Maria P Dunkin, PHARMD
• Ray C Dunklin Jr., MS, BCBA, LBA
• Burton Dennard Dunlap, M.D.

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.