Provider Demographics
NPI:1932584521
Name:OSTEEN, ERIN ALEXIS (DPT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ALEXIS
Last Name:OSTEEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-373-7116
Practice Address - Street 1:500 CANYON RIDGE DR STE B150
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-1689
Practice Address - Country:US
Practice Address - Phone:512-596-0566
Practice Address - Fax:512-596-0567
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1191721225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00X553Medicare PIN
TX470695YT6UMedicare PIN