MEDICARE: ATX REHAB PLLC

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	111NR0400X	Rehabilitation Chiropractor		TX
2	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1942217377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATX REHAB PLLC

Provider Business Mailing Address
First Line	:	10601 RANCH ROAD 2222
Second Line	:	SUITE R52
City	:	AUSTIN
State	:	TX
Zip	:	78730-1134
Country	:	US
Telephone Number	:	512-289-1424
Fax Number	:	512-467-1101

Provider Business Practice Location Address
First Line	:	6611 RIVER PLACE BLVD
Second Line	:	SUITE 302
City	:	AUSTIN
State	:	TX
Zip	:	78730-1162
Country	:	US
Telephone Number	:	512-467-1100
Fax Number	:	512-467-1101

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ADAM J ZELINSKI
Credential	:	D.C.
Telephone Number	:	512-289-1424

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	05/09/2017

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