MEDICARE: CATHERINE NICOLE CHIASSON PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1363460	TX

General Provider Information

NPI Number	:	1013635721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE NICOLE CHIASSON PT, DPT

Provider Business Mailing Address
First Line	:	4611 GUADALUPE ST STE 200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-2928
Country	:	US
Telephone Number	:	512-476-2830
Fax Number	:	512-476-2832

Provider Business Practice Location Address
First Line	:	800 CRYSTAL FALLS PKWY UNIT 10
Second Line	:
City	:	LEANDER
State	:	TX
Zip	:	78641-3666
Country	:	US
Telephone Number	:	512-476-2830
Fax Number	:	512-476-2832

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	02/13/2026

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