Ignite Medical Resort Round Rock LLC
Clinic/Center, Rehabilitation in Austin, TX. Organization (NPI-2).
NPI number1992443949
StatusActive
Last updated in NPPESMay 20, 2022
Details
- NPI
- 1992443949
- Entity type
- Organization (NPI-2)
- Legal business name
- Ignite Medical Resort Round Rock LLC
- Organization subpart
- No
- Enumeration date
- May 20, 2022
- Certification date
- May 20, 2022
- Last updated
- May 20, 2022
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 |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Practice location
16219 Ranch Road 620 NAustin, TX 78717-5209
Phone 512-520-1834
Mailing address
1550 N Northwest Hwy Ste 430Park Ridge, IL 60068-1461
Authorized official
Timothy Fields
Manager
6303272951
Is something wrong?
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