Athletes' Edge Physical Therapy, PLLC
Clinic/Center, Physical Therapy in Austin, TX. Organization (NPI-2).
NPI number1407508310
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1407508310
- Entity type
- Organization (NPI-2)
- Legal business name
- Athletes' Edge Physical Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 21, 2022
- Certification date
- Jan 21, 2022
- Last updated
- Oct 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
4611 Bee Caves Road, Suite 110Austin, TX 78746
Phone 512-481-2777 · Fax 855-595-1077
Mailing address
4611 Bee Caves Road, Suite 110Austin, TX 78746
Phone 512-481-2777 · Fax 855-595-1077
Authorized official
Laurel Boyd
Owner
5124664602
Is something wrong?
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