Individual provider Active NPI

Jimmy L Rowland IV, DPT

  • Physical Therapist
  • Lakeway, TX
National Provider Identifier
1902473523
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1354250 Issued in TX
Practice address
15401 Debba Dr
Lakeway, TX 78734-3628
Phone
(512) 522-7637
NPI assigned
Jun 10, 2021
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1354250 TX Primary

Addresses

Primary practice location

15401 Debba Dr
Lakeway, TX 78734-3628

Mailing address

15401 Debba Dr
Lakeway, TX 78734-3628
Phone (512) 522-7637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819000565 TX Practitioner - Physical Medicine and Rehabilitation 8022418615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helix Physical Therapy and Chiropractic LLCGroup PAC ID 5698213981, 2 clinicians

Practice addresses (Care Compare)

15401 Debba Dr
Lakeway, TX 78734-3628
Phone (512) 522-7637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1354250TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Helix Physical Therapy & Chiropractic LLC Physical Therapist CurrentSince Jun 15, 2024 Accepting new patients

Locations

15401 Debba Dr
Lakeway, TX 78734
Phone (512) 522-7637

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1902473523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15401 DEBBA DR",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787343628",
            "telephone_number": "512-522-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15401 DEBBA DR",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787343628",
            "telephone_number": "512-522-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLAND",
        "first_name": "JIMMY",
        "middle_name": "L",
        "name_suffix": "IV",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1354250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.