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1437318110 NPI number — PEAK PHYSICAL THERAPY AND SPORTS MEDICINE CENTERS OF KYLE PLLC

NPI Number: 1437318110
Health Care Provider/Practitioner: PEAK PHYSICAL THERAPY AND SPORTS MEDICINE CENTERS OF KYLE PLLC

Information about “1437318110” NPI (PEAK PHYSICAL THERAPY AND SPORTS MEDICINE CENTERS OF KYLE PLLC) exists in 1437318110 in HTML format HTML  |  1437318110 in plain Text format TXT  |  1437318110 in PDF (Portable Document Format) PDF  |  1437318110 in an XML format XML  formats.

NPI Number : 1437318110 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437318110",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PEAK PHYSICAL THERAPY AND SPORTS MEDICINE CENTERS OF KYLE PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "21195 INTERSTATE 35 STE 201",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KYLE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78640-6078",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-268-0000",
    "MailingAddressFaxNumber": "512-523-5496",
    "FirstLinePracticeLocationAddress": "21195 INTERSTATE 35 STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KYLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78640-6078",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-268-0000",
    "PracticeLocationAddressFaxNumber": "512-268-0004",
    "EnumerationDate": "06/06/2008",
    "LastUpdateDate": "04/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DEAN",
    "AuthorizedOfficialFirstName": "ROBIN",
    "AuthorizedOfficialMiddleName": "CORINA",
    "AuthorizedOfficialTitle": "OWNER/THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MSPT",
    "AuthorizedOfficialTelephoneNumber": "512-268-0000",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2000X",
        "TaxonomyName": "Physical Therapy Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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