Active NPI
Brandon Crosdale
- Physical Therapist
- Austin, TX
National Provider Identifier
1891192514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1243563
- Practice address
- 10526 W Parmer LN
Suite 403
Austin, TX 78717-5056 - Phone
- (512) 900-3302
- NPI assigned
- Nov 24, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1243563 | TX | Primary |
Addresses
Primary practice location
10526 W Parmer LN
Suite 403
Austin, TX 78717-5056
Mailing address
10526 W Parmer LN
Suite 403
Austin, TX 78717-5056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarol Ventures LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1891192514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10526 W PARMER LN",
"address_2": "SUITE 403",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787175056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10526 W PARMER LN",
"address_2": "SUITE 403",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787175056",
"telephone_number": "512-900-3302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSDALE",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-24",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1243563",
"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 Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.