NPI age
2 years
Enumerated 2023-10-27
● Active Type 2 · Organization
Jackie West Physical Therapy
Jackie West Physical Therapy is 1 of 1225 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
West
Owner, Physical Therapist
Last NPPES update
2024-10-23
Source: monthly bulk 2026-05
How this organization compares
Across 1225 active clinic/center providers in Texas.
NPI age
2 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-10Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
6618 Sitio Del Rio Blvd Ste D103
Austin, TX 787301148
Mailing address
13359 N Highway 183, Ste 406 Pmb 2036
Austin, TX 78750
Authorized official
Jacqueline C West, PT, DPT, FAAOMPT
Owner, Physical Therapist
📞 5122227787
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Bryn Kanuck, LAC Acupuncturist NPI 1518555911
- Kimett Riddle Massage Therapist NPI 1528854064
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Bravo Austin Concierge Physical Therapy
-
Bravo Austin Concierge Physical Therapy
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.