SOUTH AUSTIN THERAPY GROUP, INC (NPI# 1417041518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417041518 |
| Entity Type | Organization |
| Organization Name | SOUTH AUSTIN THERAPY GROUP, INC |
| Other Organization Name | SOUTH AUSTIN THERAPY |
| Practice Address |
1825 Fortview Rd Ste 109 Austin TX 78704-7657 |
| Mailing Address |
1825 Fortview Rd Suite 109 Austin TX 78704-7657 |
| Practice Telephone | 5128925250 |
| Practice Fax Number | 5128927183 |
| Mailing Telephone | 5128925250 |
| Mailing Fax Number | 5128927183 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-06-29 |
| Authorized Official Name | MR. ELIAS GALVAN (PRESIDENT, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 5128925250 |
| Authorized Official Credential | PHYSICAL THERAPI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1013902 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South Austin Therapy | Doing Business As Name - Organization |
| Street Address |
1825 FORTVIEW RD STE 109 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346628682 | Adrienne Wood Gobe | Physical Therapist | 1825 Fortview Rd, Suite 109, Austin, TX 78704-7657 | 2015-05-07 |
| 1811241623 | Empower School, LLC | Behavioral Analyst | 1825 Fortview Rd, Ste 105, Austin, TX 78704-7657 | 2012-10-31 |
| 1861628125 | Lsv Therapeutic Solutions Inc. | Counselor | 1825 Fortview Rd, Suite 112-a, Austin, TX 78704-7657 | 2009-06-01 |
| 1396901328 | Elizabeth Shannon Arnold | Counselor | 1825 Fortview Rd, Ste. 112f, Austin, TX 78704-7657 | 2008-07-29 |
| 1558522219 | Linda S Longoria | Physical Therapist | 1825 Fortview Rd, Ste 109, Austin, TX 78704-7657 | 2008-06-24 |
| 1023238912 | The Hand Clinic of Austin, P.C. | Occupational Therapist | 1825 Fortview Rd, Suite 103, Austin, TX 78704-7654 | 2007-04-26 |
| 1790825230 | M. Renee Willms | Occupational Therapist | 1825 Fortview Rd, Suite 103, Austin, TX 78704-7657 | 2007-02-07 |
| 1730258724 | Elias Lopez Galvan Jr. | Physical Therapist | 1825 Fortview Rd, Suite 109, Austin, TX 78704-7657 | 2006-11-06 |
| 1518045749 | Linda Stramblad Valseca | Counselor | 1825 Fortview Rd, Suite 112 Rooms A &b, Austin, TX 78704-7657 | 2006-11-02 |
| 1942399662 | Robin M Zumberge | Occupational Therapist | 1825 Fortview Rd, Suite 103, Austin, TX 78704-7654 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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|---|---|---|---|---|
| 1023633518 | At Home Telehealth Pt, Pllc | Clinic/Center | 12815 Woodmere St, Austin, TX 78729-4555 | 2020-06-10 |
| 1508407974 | Valerie Benjamin | Clinic/Center | 5401 La Crosse Ave Bldg C101, Austin, TX 78739-2159 | 2019-10-07 |
| 1326527458 | Resilientrx | Clinic/Center | 4820 Twin Valley Dr, Austin, TX 78731-3539 | 2018-08-09 |
| 1568953230 | Resolution Manual Therapy, Pllc | Clinic/Center | 8901 Ravello Pass, Austin, TX 78749-4959 | 2018-05-29 |
| 1639604218 | Natural Fit Therapy Pllc | Clinic/Center | 13740 Research Blvd Ste V3, Austin, TX 78750-1841 | 2017-04-20 |
| 1417488875 | Agilitas Usa, Inc | Clinic/Center | 1600 W 38th St Ste 132, Austin, TX 78731-6404 | 2017-03-27 |
| 1255874871 | Retrofit Performance Training LLC | Clinic/Center | 720 Airport Blvd, Trlr 71, Austin, TX 78702-4107 | 2016-11-30 |
| 1437607884 | Agilitas Usa Inc. | Clinic/Center | 500 Canyon Ridge Dr Ste B150, Austin, TX 78753-1689 | 2016-09-14 |
| 1962877043 | Cancer Rehab Austin | Clinic/Center | 1517 W Koenig Ln Bldg A, Austin, TX 78756-1415 | 2015-12-01 |
| 1346647351 | Shannon Louise Russell | Clinic/Center | 12611 Hymeadow Dr., Austin, TX 78729 | 2014-11-20 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.