| Mary Lee Foundation Rehabilitation Center | |
|
1339 Lamar Square Dr Austin TX 78704 | |
| (512) 443-1360 | |
| (512) 443-1758 |
| Full Name | Mary Lee Foundation Rehabilitation Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1339 Lamar Square Dr, Austin, Texas |
| Authorized Official Name and Position | Charlene Crump (DIRECTOR) |
| Authorized Official Contact | 5124435777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lee Foundation Rehabilitation Center 1328 Lamar Square Dr. Austin TX 78704 Ph: (512) 443-1360 | Mary Lee Foundation Rehabilitation Center 1339 Lamar Square Dr Austin TX 78704 Ph: (512) 443-1360 |
| NPI Number | 1083870778 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 02/25/2020 |
| Certification Date | 02/25/2020 |
| Medicare PECOS PAC ID | 9436339140 |
|---|---|
| Medicare Enrollment ID | O20200318000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083870778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (NU) | Secondary |
| Provider Name | Jana Cartlidge |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750911756 PECOS PAC ID: 3173951563 Enrollment ID: I20200318001234 |
| Provider Name | Alexandr Kostenko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922606805 PECOS PAC ID: 1951721380 Enrollment ID: I20201023000219 |
| Provider Name | Jacqueline Ashley Laibinis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669952776 PECOS PAC ID: 5698162675 Enrollment ID: I20220421000170 |
| Provider Name | Jenna Elise Erben |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598261273 PECOS PAC ID: 0042666547 Enrollment ID: I20231019000885 |
| Provider Name | Russ Dewayne Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881456648 PECOS PAC ID: 1153715446 Enrollment ID: I20240916001974 |
| Provider Name | Drew Lynn Ullmann Salinas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861169500 PECOS PAC ID: 1658844550 Enrollment ID: I20260623001006 |
Harold D Lewis DO PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 |
Julie Graves Moy MD Mph PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 |
Edie E. Shulman M.D., PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 |
El Buen Samaritano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Woodhue Dr, Austin, TX 78745 Phone: 512-439-0701 |
Concentra Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 S Ih 35 Ste 300, Austin, TX 78747 Phone: 512-440-0555 Fax: 214-775-4502 |
Doctx3 PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 709 E Slaughter Ln Ste 404, Austin, TX 78744 Phone: 469-277-8253 |