Individual provider Active NPI

Andrea Lissette Aming, PT, DPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1952900607
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1334383 Issued in TX
Practice address
2712 Bee Caves Rd Ste 110
Austin, TX 78746-5662
Phone
(512) 732-2220
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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 1334383 TX Primary

Addresses

Primary practice location

2712 Bee Caves Rd Ste 110
Austin, TX 78746-5662

Mailing address

1512 Bryan St
Eagle Pass, TX 78852-4914
Phone (832) 674-5918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202000045 TX Practitioner - Physical Therapist in Private Practice 3678984358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spero Rehabilitation, LLCGroup PAC ID 5890988216, 53 clinicians

Practice addresses (Care Compare)

4225 Guadalupe St
Austin, TX 78751-4224
Phone (737) 204-0089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1334383TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Rehabilitation LLC Physical Therapist CurrentSince Jun 29, 2021 Accepting new patients
Ascent Physical Therapy, PC CurrentSince Nov 2, 2020 Accepting new patients

Locations

2712 Bee Caves Rd
Ste 110
Austin, TX 78746
Phone (512) 351-4791

4225 Guadalupe St
Austin, TX 78751
Phone (737) 204-0089

23225 Kingsland Blvd
Ste 600
Katy, TX 77494
Phone (281) 395-9090

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1952900607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 BRYAN ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524914",
            "telephone_number": "832-674-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 BEE CAVES RD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465662",
            "telephone_number": "512-732-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMING",
        "first_name": "ANDREA",
        "middle_name": "LISSETTE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1334383",
            "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 May 14, 2021; 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.