Healthcare Provider Details

I. General information

NPI: 1821077991
Provider Name (Legal Business Name): AFFILIATED PHYSICAL THERAPY AND REHABILITATION CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BUTTERCUP CREEK BLVD SUITE 122
CEDAR PARK TX
78613-3708
US

IV. Provider business mailing address

4310 JAMES CASEY ST SUITE 1D
AUSTIN TX
78745-1120
US

V. Phone/Fax

Practice location:
  • Phone: 512-219-8890
  • Fax: 512-258-0090
Mailing address:
  • Phone: 512-445-5213
  • Fax: 512-445-4353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. THOMAS GENE BILLINGS
Title or Position: EXECUTIVE DIRECTOR AND OWNER
Credential: PT
Phone: 512-443-2400