NPI 1285189134 · live from the CMS NPI Registry
512 Physical Therapy And Golf Performance Center
Physical Therapist in Austin, TX. National Provider Identifier 1285189134, active.
NPI record
| NPI | 1285189134 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 4425 S Mopac Expy Ste 101, Austin, TX 78735 |
| Practice phone | 512-669-2162 |
| Mailing address | 8304 Alophia Dr, Austin, TX 78739 |
| Enumerated | August 22, 2016 |
| Last updated | March 3, 2022 |
| Authorized official | Robert Odell, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.