TILLMAN PHYSICAL THERAPY & SPORTS TRAINING CENTER, INC
NPI 1376579797
Clinic/Center - Physical Therapy in Cedar Park, TX
About Tillman Physical Therapy & Sports Training Center, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TILLMAN PHYSICAL THERAPY & SPORTS TRAINING CENTER, INC (NPI 1376579797) is a healthcare organization registered as a physical therapy in Cedar Park, Texas and active in the NPI registry since June 2006. The organization lists Michael Ray Tillman, Phyical Therapist President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tillman Physical Therapy & Sports Training Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Tillman Physical Therapy & Sports Training Center, Inc, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
Cedar Park, TX 78613
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tillman Physical Therapy & Sports Training Center, Inc's NPI number?
The NPI number for Tillman Physical Therapy & Sports Training Center, Inc is 1376579797. It was assigned to this organization in the NPPES registry on June 25, 2006.
Where is Tillman Physical Therapy & Sports Training Center, Inc located?
Tillman Physical Therapy & Sports Training Center, Inc is located at 2519 S Lakeline Blvd Suite 100, Cedar Park, TX 78613. The listed phone number is (512) 331-6200.
What is Tillman Physical Therapy & Sports Training Center, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Tillman Physical Therapy & Sports Training Center, Inc enrolled in Medicare?
Yes. Tillman Physical Therapy & Sports Training Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tillman Physical Therapy & Sports Training Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Tillman Physical Therapy & Sports Training Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (11) and Occupational Therapist in Private Practice (1). Of these, 9 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tillman Physical Therapy & Sports Training Center, Inc was last updated on March 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tillman Physical Therapy & Sports Training Center, Inc · NPI 1376579797
Physical Therapy organization in Cedar Park, Texas. Organization record, active in the CMS NPPES registry since June 25, 2006.
## Identity
- **NPI:** 1376579797 (Entity type: Organization)
- **Enumerated:** June 25, 2006
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Michael Tillman, PHYICAL THERAPIST PRESIDENT
## Practice location
- **Address:** 2519 S LAKELINE BLVD, SUITE 100, Cedar Park, TX 78613-2964
- **Phone:** (512) 331-6200 · **Fax:** (512) 331-4312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (11), Occupational Therapist in Private Practice (1); 9 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2011
- **Other identifiers:** Medicaid 153870401 (TX); Medicare ID-Type Unspecified 00160S (TX); Medicare UPIN X67500 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1376579797) · Data from the CMS NPPES public registry.