Active NPI
South Austin Rehabilitation & Wound Clinic Inc
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Austin, TX
National Provider Identifier
1932136256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- SOUTH AUSTIN REHABILITATION & WOUND CLINIC INC
- Practice address
- 1701 W Ben White Blvd
Suite 100B
Austin, TX 78704-7667 - Phone
- (512) 440-1441
- Fax
- (512) 440-1448
- NPI assigned
- Jun 26, 2006
- 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
- Mr. Paul Jones
- Title
- Administrator
- Phone
- (512) 440-1441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | TX | Primary |
Addresses
Primary practice location
1701 W Ben White Blvd
Suite 100B
Austin, TX 78704-7667
Mailing address
1701 W Ben White Blvd
Suite 100B
Austin, TX 78704-7667
Phone (512) 440-1441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0068KK | Other | TX | BCBS OF TX |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1701 W Ben White Blvd
Ste 100B
Austin, TX 78704
Phone (512) 440-1441
2312 Western Trails Blvd
Ste B202
Austin, TX 78745
Phone (512) 444-0013
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Austin, TX
- NPI 1982614020
-
- Orthopaedic Surgery Physician
- Austin, TX
- NPI 1346259199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1932136256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W BEN WHITE BLVD",
"address_2": "SUITE 100B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047667",
"telephone_number": "512-440-1441",
"fax_number": "512-440-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W BEN WHITE BLVD",
"address_2": "SUITE 100B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047667",
"telephone_number": "512-440-1441",
"fax_number": "512-440-1448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH AUSTIN REHABILITATION & WOUND CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "512-440-1441",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TX",
"identifier": "0068KK",
"state": "TX"
}
],
"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 Aug 22, 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.