EPIC PEDIATRIC THERAPY LP. NPI 1013163377

NPI Information

NPI: 1013163377
Provider Name: EPIC PEDIATRIC THERAPY, LP.

Doing Business As: AVEANNA HEALTHCARE

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
9616 N LAMAR BLVD
SUITE 105
AUSTIN, TX
ZIP 78753
Phone: (512) 527-9608
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EPIC PEDIATRIC THERAPY, LP. is a rehabilitation clinic center in Austin, TX. EPIC PEDIATRIC THERAPY, LP. NPI is 1013163377. The provider is registered as an organization entity type.
The provider Is Doing Business As Aveanna Healthcare.

The provider's business location address is:

9616 N LAMAR BLVD
SUITE 105
AUSTIN, TX
ZIP 78753-152
Phone: (512) 527-9608
Fax: (512) 527-9618

The provider's authorized official is Vicki Whiteside .
The authorized official title is Director Regulatory Licensing and has the following contact phone number (770) 248-8740.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 6/12/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	648140024	TEXAS	No
2	261QR0400X	Clinic/Center	Rehabilitation	648140002	TEXAS	No
3	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			No
4	261QR0400X	Clinic/Center	Rehabilitation	67-6535	TEXAS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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