Organization Active NPI

Ortholonestar, PLLC

Doing business as Texas Orthopedics, Sports & Rehabilitation Associates

  • Orthopaedic Surgery Physician
  • Cedar Park, TX
National Provider Identifier
1982211454
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

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.

Verify at the official NPI Registry.