Organization Active NPI

South Austin Rehabilitation & Wound Clinic Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Austin, TX
National Provider Identifier
1932136256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0068KKOtherTXBCBS OF TX

National Provider Directory

National Provider Directory

Member 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.

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.

Verify at the official NPI Registry.