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NPI Code Detail

MEDICARE: HOME THERAPY OF AUSTIN LLC

MEDICARE: HOME THERAPY OF AUSTIN LLC
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
1251E00000XHome Health Agency

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
167-9646OTHERMEDICARE PROVIDER NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2011643OTHERTXSTATE LICENSE

General Provider Information

NPI Number : 1316959109
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME THERAPY OF AUSTIN LLC
Provider Business Mailing Address
First Line : 6760 OLD JACKSONVILLE HWY STE 101
Second Line :
City : TYLER
State : TX
Zip : 75703-0566
Country : US
Telephone Number : 855-485-8273
Fax Number : 888-333-8977
Provider Business Practice Location Address
First Line : 3724 EXECUTIVE CENTER DR STE 220C
Second Line :
City : AUSTIN
State : TX
Zip : 78731-1646
Country : US
Telephone Number : 512-637-1550
Fax Number : 512-637-1551
Authorized Official
Title or Position : CHIEF GROWTH OFFICER
Name : KATRINA DAWN LANIER
Credential : LVN
Telephone Number : 855-485-8273
Provider Enumeration Date : 08/12/2006
Last Update Date : 12/31/2025

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Directions to “HOME THERAPY OF AUSTIN LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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