Individual provider · Type 1 NPI

Shasta D. Raby, PTA

Physical Therapy Assistant · Austin, TX

NPI number 1104786540 Active

Practice location

13915 Burnet Rd Ste 103
Austin, TX 78728-6518

Call (512) 710-6516 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2090313 (TX)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1104786540

Shasta D. Raby, PTA's National Provider Identifier is 1104786540, issued on Nov 17, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Austin, TX. The record was last updated on Nov 17, 2025.