Individual provider Active NPI

Jacquelyn Butzen, DPT

  • Physical Therapist
  • Cedar Park, TX
National Provider Identifier
1841894953
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1339061 Issued in TX
Practice address
1335 E Whitestone Blvd BLDG O100
Cedar Park, TX 78613-0047
Phone
(512) 539-0032
Fax
(512) 539-0034
NPI assigned
Nov 30, 2020
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1339061 TX Primary

Addresses

Primary practice location

1335 E Whitestone Blvd BLDG O100
Cedar Park, TX 78613-0047

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Other practice location 1

1920 E Riverside Dr Ste D-120
Austin, TX 78741-1350
Phone (512) 580-3008

Other practice location 2

10515 N Mopac Expy Ste A120
Austin, TX 78759-5477
Phone (512) 348-2806

Other practice location 3

1516 Ranch Road 620 S Ste 300
Lakeway, TX 78734-6295
Phone (512) 643-0891

Other practice location 4

1300 Dacy Ln Ste 100
Kyle, TX 78640-4194
Phone (512) 213-8001

Other practice location 5

3267 Bee Caves Rd Ste 126
Austin, TX 78746-6774
Phone (512) 202-8634

Other practice location 6

9900 S Interstate 35 Ste P-375
Austin, TX 78748-3885
Phone (512) 580-3006

Other practice location 7

5601 Brodie Ln Ste 640
Sunset Valley, TX 78745-2551
Phone (512) 580-3055

Other practice location 8

950 W University Ave Ste 207
Georgetown, TX 78626-6508
Phone (512) 982-3363

Other practice location 9

500 Canyon Ridge Dr Ste B150
Austin, TX 78753-1689
Phone (512) 596-0566

Other practice location 10

1600 W 38th St Ste 132
Austin, TX 78731-6404
Phone (512) 348-2515

Other practice location 11

201 University Oaks Blvd Ste 500
Round Rock, TX 78665-2429
Phone (512) 766-2171

Other practice location 12

201 Saint Joseph Ct Ste 310
Liberty Hill, TX 78642-3404
Phone (737) 843-4195

Other practice location 13

19101 Limestone Commercial Dr Ste 200
Pflugerville, TX 78660-4511
Phone (512) 710-3235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201203001035 TX Practitioner - Physical Therapist in Private Practice 7113338799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

1335 E Whitestone Blvd
100 Results Physiotherapy
Cedar Park, TX 78613-7598
Phone (512) 539-0032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 14, 2020 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Dec 14, 2020 Accepting new patients
Agilitas USA, Inc PastSince Dec 6, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

10515 N Mopac Expy
Ste A120
Austin, TX 78759
Phone (512) 348-2806

1600 W 38th St
Ste 132
Austin, TX 78731
Phone (512) 348-2515

1920 E Riverside Dr
Ste D-120
Austin, TX 78741
Phone (512) 580-3008

3267 Bee Caves Rd
Ste 126
Austin, TX 78746
Phone (512) 202-8634

500 Canyon Ridge Dr
Ste B150
Austin, TX 78753
Phone (512) 596-0566

9900 S Interstate 35
Ste P375
Austin, TX 78748
Phone (512) 580-3006

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

1335 E Whitestone Blvd
Ste 100
Cedar Park, TX 78613
Phone (512) 539-0032

950 W University Ave
Ste 207
Georgetown, TX 78626
Phone (512) 686-1650

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

1300 Dacy Ln
Ste 100
Kyle, TX 78640
Phone (512) 213-8001

1516 Ranch Road 620 S
Ste 300
Lakeway, TX 78734
Phone (512) 643-0891

201 Saint Joseph Ct
Ste 310
Liberty Hill, TX 78642
Phone (737) 843-4195

19101 Limestone Commercial Dr
Ste 200
Pflugerville, TX 78660
Phone (512) 710-3235

201 University Oaks Blvd
Ste 500
Round Rock, TX 78665
Phone (512) 766-2171

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

5601 Brodie Ln
Ste 640
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1841894953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 E WHITESTONE BLVD BLDG O100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786130047",
            "telephone_number": "512-539-0032",
            "fax_number": "512-539-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 E Riverside Dr Ste D-120",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787411350",
            "country_code": "US",
            "telephone_number": "512-580-3008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10515 N Mopac Expy Ste A120",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787595477",
            "country_code": "US",
            "telephone_number": "512-348-2806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 Ranch Road 620 S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lakeway",
            "state": "TX",
            "postal_code": "787346295",
            "country_code": "US",
            "telephone_number": "512-643-0891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Dacy Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786404194",
            "country_code": "US",
            "telephone_number": "512-213-8001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3267 Bee Caves Rd Ste 126",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787466774",
            "country_code": "US",
            "telephone_number": "512-202-8634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 S Interstate 35 Ste P-375",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787483885",
            "country_code": "US",
            "telephone_number": "512-580-3006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 Brodie Ln Ste 640",
            "address_purpose": "LOCATION",
            "city": "Sunset Valley",
            "state": "TX",
            "postal_code": "787452551",
            "country_code": "US",
            "telephone_number": "512-580-3055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 W University Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786266508",
            "country_code": "US",
            "telephone_number": "512-982-3363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Canyon Ridge Dr Ste B150",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787531689",
            "country_code": "US",
            "telephone_number": "512-596-0566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 W 38th St Ste 132",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787316404",
            "country_code": "US",
            "telephone_number": "512-348-2515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 University Oaks Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786652429",
            "country_code": "US",
            "telephone_number": "512-766-2171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Saint Joseph Ct Ste 310",
            "address_purpose": "LOCATION",
            "city": "Liberty Hill",
            "state": "TX",
            "postal_code": "786423404",
            "country_code": "US",
            "telephone_number": "737-843-4195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19101 Limestone Commercial Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786604511",
            "country_code": "US",
            "telephone_number": "512-710-3235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTZEN",
        "first_name": "JACQUELYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1339061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.