Organization Active NPI

Quintessence Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Austin, TX
National Provider Identifier
1881209807
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
QUINTESSENCE PHYSICAL THERAPY, PLLC
Practice address
12335 Hymeadow Dr Ste 450
Austin, TX 78750-1952
Phone
(512) 200-3945
Fax
(855) 743-0045
NPI assigned
Sep 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Swapnali ChaudharyNPI 1740423979
Title
Physical Therapist/Owner
Phone
(512) 200-3945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

12335 Hymeadow Dr Ste 450
Austin, TX 78750-1952

Mailing address

12335 Hymeadow Dr Ste 450
Austin, TX 78750-1952
Phone (512) 200-3945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201022002456 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789004292 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

13740 Research Blvd
Ste C3
Austin, TX 78750

13740 N Highway 183
Ste A3
Austin, TX 78750
Phone (512) 200-3945

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1881209807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 HYMEADOW DR STE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501952",
            "telephone_number": "512-200-3945",
            "fax_number": "855-743-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12335 HYMEADOW DR STE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501952",
            "telephone_number": "512-200-3945",
            "fax_number": "855-743-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTESSENCE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARY",
        "authorized_official_first_name": "SWAPNALI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "512-200-3945"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.