Eagle Ward Rehabilitation Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EAGLE WARD REHABILITATION INC

Practice address

4013 Marathon Blvd
Austin, TX 78756

Phone

(512) 302-1930

Fax

(512) 302-4023

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Todd Eagle

Title

President

Phone

(512) 732-0102

Specialties & licenses 1

Addresses

Tax ID family

Eagle Ward Rehabilitation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eagle Ward Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Austin, TX
  • NPI 1619037629
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terrill Warren Jenkerson, PT

  • Physical Therapist
  • Austin, TX
  • NPI 1326163742
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871653725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 BEE CAVE RD",
            "address_2": "BLDG 1 SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-732-0102",
            "fax_number": "512-732-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 MARATHON BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78756",
            "telephone_number": "512-302-1930",
            "fax_number": "512-302-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE WARD REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EAGLE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-732-0102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Britton Eaddy, D.D.S.
• Eag Healthcare LLC
• Eagan Medical Group Inc
• Jasmine Eagan, FNP-C
• Eagle Ward Rehabilitation Inc
• Eagle Ward Rehabilitation, Inc
• Rebecca Eagleson
• Monica Eames, RD, LD/N
• Elza Eapen
• Prakash Samuel Eapen, M.D.

• 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 Aug 22, 2020; 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.