MEDICARE: CENTRAL AUSTIN PHYSICAL THERAPY

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	666380000	TX

General Provider Information

NPI Number	:	1588895866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL AUSTIN PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	4411 MEDICAL PKWY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-3313
Country	:	US
Telephone Number	:	512-328-8934
Fax Number	:	512-328-8953

Provider Business Practice Location Address
First Line	:	4411 MEDICAL PKWY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-3313
Country	:	US
Telephone Number	:	512-328-8934
Fax Number	:	512-328-8953

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. REBECCA KERN STEINER
Credential	:	PT, OCS
Telephone Number	:	512-328-8934

Provider Enumeration Date	:	08/04/2009
Last Update Date	:	08/04/2009

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