Unknown Individual – Orthopedic Physical Therapist, NPI 1891789319

Unknown Individual is a healthcare provider. based in Austin, Texas. specializing in Orthopedic Physical Therapist. They hold a License No. 1150471 (TX). The NPI Number for Unknown Individual is 1891789319

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1891789319
Phone
(512) 832-9411
Address
3508 FAR WEST BLVD
Deactivation Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5128329411
Graduation Year
2003 (23 years ago)
PAC ID
2365413267
Group Practice PAC ID
4082685953
Professional Enrollment ID
I20040804000613
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3508, Far West Boulevard, Austin, Travis County, Texas, 78731, United States

    SUITE 240

    AUSTIN, TX 787313080

    Phone: (512) 832-9411

    Fax: (512) 832-9401

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2,857149$0
97140Therapy procedure using manual technique, each 15 minutes1,767154$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,130122$0
97162Evaluation for physical therapy, typically 30 minutes5654$0
97161Evaluation for physical therapy, typically 20 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 78731)

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Provider's Procedures

Unknown Individual performs procedures in Orthopedic Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYTX97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1853118
PHYSICAL THERAPYTX97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes1072115

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082685953View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1891789319 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Austin, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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