Active NPI
Austin Lymphatic
- Physical Therapy Clinic/Center
- Austin, TX
National Provider Identifier
1922607233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- AUSTIN LYMPHATIC
- Practice address
- 5750 Balcones Dr Ste 107
Austin, TX 78731-4268 - Phone
- (512) 751-8146
- NPI assigned
- Oct 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Johnson, LMT
- Title
- Massage Therapist
- Phone
- (512) 751-8146
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
5750 Balcones Dr Ste 107
Austin, TX 78731-4268
Mailing address
5750 Balcones Dr Ste 107
Austin, TX 78731-4268
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603065600000",
"number": "1922607233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 BALCONES DR STE 107",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 BALCONES DR STE 107",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314268",
"telephone_number": "512-751-8146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUSTIN LYMPHATIC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "MASSAGE THERAPIST",
"authorized_official_telephone_number": "512-751-8146",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"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 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.