Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sutiluck Boonsrisart

Individual provider Physical Therapist · NPI 1962208579

Sutiluck Boonsrisart is a Physical Therapist in Private Practice in Austin, Texas. Qualified in 2024, 2 years ago. Practices with Texas Physical Therapy Specialists, Inc, a 234-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

1212 W Parmer Ln Ste G
Austin, TX 78727-4657
Phone: (512) 670-3238
Fax: (512) 670-3241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1406118 (TX)

Record details

NPI number1962208579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 24, 2025
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Texas Physical Therapy Specialists, Inc — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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