Provider Demographics
NPI:1003425794
Name:DIZZYPHYSIO
Entity Type:Organization
Organization Name:DIZZYPHYSIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIGARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:512-289-3333
Mailing Address - Street 1:8306 LOS RANCHOS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-3901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8306 LOS RANCHOS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-3901
Practice Address - Country:US
Practice Address - Phone:512-953-7626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty