MEDICARE: DR. KARINA DIANE QUINTANILLA 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	2251G0304X	Geriatric Physical Therapist	1407260	TX

General Provider Information

NPI Number	:	1588502850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARINA DIANE QUINTANILLA PT, DPT

Provider Business Mailing Address
First Line	:	2313 WIND VANE W
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-2288
Country	:	US
Telephone Number	:	956-245-5024
Fax Number	:

Provider Business Practice Location Address
First Line	:	11020 DESSAU RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-2053
Country	:	US
Telephone Number	:	512-873-2244
Fax Number	:

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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