Organization Active NPI

Texas Spine and Sports Therapy Center

  • Sports Physician Chiropractor
  • Austin, TX
National Provider Identifier
1891690384
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
TEXAS SPINE AND SPORTS THERAPY CENTER
Practice address
12501 Hymeadow Dr Ste 1F
Austin, TX 78750-1831
Phone
(512) 436-8900
Fax
(512) 436-8001
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Mr. Brian Clukie
Title
Billing Manager
Phone
(813) 388-2935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X Primary

Addresses

Primary practice location

12501 Hymeadow Dr Ste 1F
Austin, TX 78750-1831

Mailing address

12501 Hymeadow Dr Ste 1F
Austin, TX 78750-1831
Phone (512) 436-8900

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1891690384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 HYMEADOW DR STE 1F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501831",
            "telephone_number": "512-436-8900",
            "fax_number": "512-436-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 HYMEADOW DR STE 1F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501831",
            "telephone_number": "512-436-8900",
            "fax_number": "512-436-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SPINE AND SPORTS THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "CLUKIE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "813-388-2935",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.