OrganizationActive
The Michanic Shop, LLC
NPI 1265100192 · Physical Therapy Clinic/Center · Austin, TX
Provider details
- NPI number
- 1265100192
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Gillespie, Physical Therapist(915) 412-2734
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6428 Ruxton Ln
Austin, TX 78749-4126
Phone: (915) 412-2734
Street-level locationGet directions
Mailing address
6104 Old Fredericksburg Rd # 92946
Austin, TX 78749-1216
Registry dates
- Enumerated
- 2021-09-03
- Last updated
- 2021-09-03
- Certified
- 2021-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.