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ST. DAVID'S PHYSICAL MEDICINE AND REHABILITATION PLLC NPI 1629209606


NPI Information

NPI: 1629209606
Provider Name: ST. DAVID'S PHYSICAL MEDICINE AND REHABILITATION, PLLC
Classification: Physical Medicine & Rehabilitation - 2081P0004X
Entity Type: Organization

Specialization: Spinal Cord Injury Medicine

CLIA Number: 45D0505060

Address:
1015 E 32ND ST
SUITE 306
AUSTIN, TX
ZIP 78705
Phone: (512) 236-1310
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ST. DAVID'S PHYSICAL MEDICINE AND REHABILITATION, PLLC is a spinal cord injury medicine physical medicine rehabilitation in Austin, TX. The provider is a physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. ST. DAVID'S PHYSICAL MEDICINE AND REHABILITATION, PLLC NPI is 1629209606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1015 E 32ND ST
SUITE 306
AUSTIN, TX
ZIP 78705-707
Phone: (512) 236-1310
Fax: (512) 236-6963

The provider's authorized official is John Rebok .
The authorized official title is Vice President and has the following contact phone number (512) 708-9700.

The CLIA number assigned to this NPI record is 45D0505060 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/7/2009 and was last updated on 8/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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