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NPI 1578694139
● Active Type 2 · Organization
Johnny Shane Ross Inc
Physical Medicine & Rehabilitation · Lakeway, TX · NPI 1578694139
·
Enumerated 2007 · 19 years on NPI
Johnny Shane Ross Inc is 1 of 1738 physical medicine & rehabilitation organizations in Texas.
NPI age
19 years
Enumerated 2007-03-08
Primary specialty
Physical Medicine & Rehabilitation
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ross
Corporate Secretary
Last NPPES update
2016-02-25
Source: monthly bulk 2026-05
How this organization compares
Across 1738 active physical medicine & rehabilitation providers in Texas.
NPI age
19 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-03 Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2000 Medical Dr
Lakeway, TX 787344200
📞 5122634511 fax 5122634506
Mailing address
2101 Headwater Ln
Austin, TX 787467858
📞 5805850180
Authorized official
Ginger R Ross
Corporate Secretary
📞 5805850180
Individual providers at this organization
20 individual providers on file at this primary practice address.
Faheem Ahmed , M.D.
Internal Medicine
NPI 1538163860
Rachel Antoine , PT, DPT
Physical Therapist
NPI 1033826698
Zachary Bailey , DPT
Physical Therapist
NPI 1689491052
Alexa Balagia , OT
Occupational Therapist
NPI 1073238127
Jill Barada , M.S. CCC-SLP
Speech-Language Pathologist
NPI 1629789946
Mariah Clark , LAT, ATC
Specialist/Technologist
NPI 1154990133
Madisyn Clausen , MS CCC-SLP
Speech-Language Pathologist
NPI 1952015455
Michelle Dumbacher , OTR/L
Occupational Therapist
NPI 1548521057
Brendy Elson , M.S., CCC-SLP
Speech-Language Pathologist
NPI 1952154908
Monica Fishbein , OTD
Occupational Therapist
NPI 1326893710
Bailee Fleming
Occupational Therapist
NPI 1003777301
Leah Foster
Speech-Language Pathologist
NPI 1598386674
Samantha Garza , PT, DPT
Physical Therapist
NPI 1164194841
Jeannette Gastineau , MA, LPC-A
Counselor
NPI 1194396531
Alexis Gutierrez , OTR/L
Occupational Therapist
NPI 1649129537
Zachery Ibarra , PT
Physical Therapist
NPI 1720891443
Rachel Jimenez , OTR
Occupational Therapist
NPI 1306643440
Aminah Khinnarath , OTR/L
Occupational Therapist
NPI 1134828445
Clara Kornovich
Occupational Therapist
NPI 1467273433
Nicholas Krutza , DPT
Physical Therapist
NPI 1619517604
Specialties
Physical Medicine & Rehabilitation
Primary
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from...
TX license #J6036 taxonomy 208100000X
Identifiers
Type Value Notes
01 (OK)
613355600
DEPARTMENT OF LABOR
05 (TX)
3445785 01
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.