SPINE AND REHABILITATION CENTER (NPI# 1841208022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841208022 |
| Entity Type | Organization |
| Organization Name | SPINE AND REHABILITATION CENTER |
| Practice Address |
3724 Executive Center Dr Suite G-10 Austin TX 78731-1646 |
| Practice Telephone | 5123455925 |
| Practice Fax Number | 5123437113 |
| Mailing Telephone | 5123455925 |
| Mailing Fax Number | 5123437113 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-08-14 |
| Authorized Official Name | JODI ATCHLEY (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5123455935 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
3724 EXECUTIVE CENTER DR SUITE G-10 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861436933 | Sylvia Elizabeth Deily | Chiropractor | 3724 Executive Center Dr, Suite G10, Austin, TX 78731-1646 | 2006-06-16 |
| 1679110233 | Jakob Richard Allen | Specialist | 3724 Executive Center Dr, Austin, TX 78731-1646 | 2019-12-03 |
| 1609324136 | Danielle Eschelbach | Physical Therapist | 3724 Executive Center Dr, Suite G10, Austin, TX 78731-1646 | 2016-09-13 |
| 1508234105 | Lisa Marie Higgs | Nurse Practitioner | 3724 Executive Center Dr, Ste 230, Austin, TX 78731-1646 | 2015-09-13 |
| 1053788828 | Sherrel Downes | Nurse Practitioner | 3724 Executive Center Dr, 230, Austin, TX 78731-1646 | 2015-08-28 |
| 1417336256 | Gary Alan Hopkins, Md, Pa | Clinic/Center | 3724 Executive Center Dr, Austin, TX 78731-1646 | 2015-05-27 |
| 1003295429 | Chudleigh, Pa | Clinical Nurse Specialist | 3724 Executive Center Dr, Ste 230, Austin, TX 78731-1646 | 2015-05-19 |
| 1962897116 | Lauren Brittany Williams | Nurse Practitioner | 3724 Executive Center Dr, Ste. 230, Austin, TX 78731-1646 | 2015-04-04 |
| 1942690359 | Olivia Chinenye Gachomo | Nurse Practitioner | 3724 Executive Center Dr, Austin, TX 78731-1646 | 2015-01-24 |
| 1053720631 | Arlene Meyer | Clinical Nurse Specialist | 3724 Executive Center Dr, Suite 230, Austin, TX 78731-1646 | 2014-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326546 | Haydn Storey | Chiropractor | 1807 W Slaughter Ln Ste 450, Austin, TX 78748-6269 | 2020-11-03 |
| 1336748797 | Zachary James Foreman | Chiropractor | 7900 Fm 1826 Ste 100, Austin, TX 78737-1410 | 2020-10-18 |
| 1497371827 | Abbie Lynn Hunt | Chiropractor | 820 Camino Vaquero Pkwy Apt 10106, Austin, TX 78748-3320 | 2020-06-22 |
| 1982237814 | Jared Covarrubias | Chiropractor | 4500 Steiner Ranch Blvd Apt 910, Austin, TX 78732-2313 | 2020-02-19 |
| 1396375606 | Brandon Ramakko | Chiropractor | 827 W 12th St Ste 2, Austin, TX 78701-1701 | 2020-01-26 |
| 1356980296 | Kristin Nicole Paouncic | Chiropractor | 1300 E Riverside Dr Apt D612, Austin, TX 78741-1215 | 2019-12-23 |
| 1962059576 | Gray Ellison Humphries | Chiropractor | 11800 N Interstate 35, Austin, TX 78753-2211 | 2019-08-20 |
| 1659937340 | Vinh Doan | Chiropractor | 12343 Hymeadow Dr Ste 2j, Austin, TX 78750-1830 | 2019-05-17 |
| 1689239212 | Shawn K Small | Chiropractor | 500 N Capital of Texas Hwy Bldg 125, Austin, TX 78746-3359 | 2019-05-09 |
| 1912464082 | Alexis Maire Dobson | Chiropractor | 4419 Frontier Trl Ste 106, Austin, TX 78745-1567 | 2019-02-25 |
| 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.