CANCER REHAB AUSTIN (NPI# 1962877043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962877043 |
| Entity Type | Organization |
| Organization Name | CANCER REHAB AUSTIN |
| Practice Address |
1517 W Koenig Ln Bldg A Austin TX 78756-1415 |
| Mailing Address |
7421 Burnet Rd Unit 319 Austin TX 78757-2244 |
| Practice Telephone | 5125240964 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Authorized Official Name | ANGELA WICKER-RAMOS (PHYSICAL THERAPIST AND OWNER) |
| Authorized Official Telephone | 5125240964 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
TX | Ambulatory Health Care Facilities |
| Street Address |
1517 W KOENIG LN BLDG A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78756-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558887802 | Melissa Cofer | Physical Therapist | 1517 W Koenig Ln Bldg A, Austin, TX 78756-1415 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911347 | Sjel Diagnostics of Austin, Pllc | Electrodiagnostic Medicine | 3800 North Lamar Blvd Suite 200, Austin, TX 78756 | 2020-10-27 |
| 1801377874 | Rachel Gabriela Valdez | Counselor | 1508 North Street, Austin, TX 78756 | 2018-08-27 |
| 1225537111 | Lydian Dental Burnet Pllc | Dentist | 5531 Burnet Rd, Austin, TX 78756 | 2018-02-06 |
| 1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
| 1316495757 | Nicole Williams Counseling | Clinic/Center | 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 | 2016-09-14 |
| 1720431554 | John Graham Reed | Dentist | 4106 Marathon Blvd Ste A, Austin, TX 78756 | 2016-07-17 |
| 1720464779 | Kasey D Kuehler | Counselor | 3709 Medical Parkway, Suite 100, Austin, TX 78756 | 2015-07-31 |
| 1720497126 | Holly Elizabeth Bullion | Nurse Practitioner | 1101 W 40th St # 102, Austin, TX 78756 | 2014-08-11 |
| 1538506233 | Jessica Swanson | Emergency Medicine | 1400 St North I-35, Suite C2.230, Austin, TX 78756 | 2013-06-04 |
| 1740537836 | Austin Regional Home Care Inc. | Home Health | 3810 Medical Parkway, Suite 115, Austin, TX 78756 | 2012-08-08 |
| Find all providers in zip 78756 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1346647351 | Shannon Louise Russell | Clinic/Center | 12611 Hymeadow Dr., Austin, TX 78729 | 2014-11-20 |
| 1154730091 | Diane Hodges Popps | Clinic/Center | 6911 Rr 620 N Ste B, Austin, TX 78732-1920 | 2014-08-05 |
| 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.