Active NPI
Ortholonestar, PLLC
Doing business as Texas Orthopedics, Sports & Rehabilitation Associates
- Orthopaedic Surgery Physician
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOLONESTAR, PLLC
- Doing business as
- Texas Orthopedics, Sports & Rehabilitation Associates
- Practice address
- 1401 Medical Pkwy Ste 120B
Cedar Park, TX 78613-7763 - Phone
- (512) 439-1000
- Fax
- (512) 439-1085
- NPI assigned
- Sep 28, 2020
- Organization subpart
- Yes
- Parent organization
- ORTHOLONESTAR, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Kinman
- Title
- Ceo
- Phone
- (512) 439-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1401 Medical Pkwy Ste 120B
Cedar Park, TX 78613-7763
Mailing address
4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107
Phone (512) 439-1000
Other names 1
- Texas Orthopedics, Sports & Rehabilitation Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210427002874 | TX | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 9931529062 | Practice locations: Cedar Park, TX |
National Provider Directory
National Provider Directory- Part of
- Ortholonestar PLLC
Locations
4700 Seton Center Pkwy
Ste 200
Austin, TX 78759
Phone (512) 439-1011
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1942860176
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Austin, TX
- NPI 1871543405
-
- Surgical Physician Assistant
- Austin, TX
- NPI 1699499913
-
- Surgical Physician Assistant
- Austin, TX
- NPI 1326657636
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1396895579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601251200000",
"number": "1982211454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 SETON CENTER PKWY STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594107",
"telephone_number": "512-439-1000",
"fax_number": "512-439-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MEDICAL PKWY STE 120B",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137763",
"telephone_number": "512-439-1000",
"fax_number": "512-439-1085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOLONESTAR, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHOLONESTAR, PLLC",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A",
"authorized_official_last_name": "KINMAN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "512-439-1000"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Texas Orthopedics, Sports & Rehabilitation Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.