Individual provider Active NPI

Vanessa Muncrief, PT

  • Orthopedic Physical Therapist
  • Austin, TX
National Provider Identifier
1912955675
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1162753 Issued in TX
Practice address
3701 Kerbey LN
Austin, TX 78731-6217
Phone
(917) 664-3453
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0248161 NY
Orthopedic Physical Therapist 2251X0800X 1162753 TX Primary

Addresses

Primary practice location

3701 Kerbey LN
Austin, TX 78731-6217

Mailing address

1404 Larkwood Dr
Austin, TX 78723-2539
Phone (917) 664-3453

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201116000247 TX Practitioner - Physical Therapist in Private Practice 9335155688

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3701 Kerbey LN
Austin, TX 78731-6217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0248161NYMDPhysical Therapist
1162753TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
VMPT Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
PT Plus, PC Physical Therapist Past Accepting new patients

Locations

3701 Kerbey Ln
Austin, TX 78731
Phone (917) 664-3453

Organizations & group practices 2

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1912955675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 LARKWOOD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232539",
            "telephone_number": "917-664-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 KERBEY LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316217",
            "telephone_number": "917-664-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCRIEF",
        "first_name": "VANESSA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0248161",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1162753",
            "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 Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.