Jennifer Haynes Elam, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1202019 Issued in TX

Practice address

13201 RR 620 N
Suite 206
Austin, TX 78717-1011

Phone

(512) 450-1300

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Spineaustin PA

  • Multi-Specialty Clinic/Center
  • Austin, TX
  • NPI 1164530390
  NPD (past)
• Spineaustin PA

  • Orthopaedic Surgery of the Spine Physician
  • Austin, TX
  • NPI 1457383770
  NPD (past)

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1881855286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 RR 620 N",
            "address_2": "SUITE 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787171011",
            "telephone_number": "512-450-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 RR 620 N",
            "address_2": "SUITE 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787171011",
            "telephone_number": "512-450-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAM",
        "first_name": "JENNIFER",
        "middle_name": "HAYNES",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1202019",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle El-Hallal
• El'Lucre Management Corp
• Diane Ela, RN
• Ruth H. Elaije, MA, LPC
• Elaine H. Cavazos LLC
• Julie Fawn Elam, FNP-BC, MSN, RN
• Ahmed Elamin
• Tuyet Elan, MD
• Deepa Lakshmi Elangovan, DO
• Carly Elbrecht

• 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 Aug 12, 2015; 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.