# ATX TOTAL THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467208165
- **Authorized official:** MR. RYAN SAMUEL BUSCAGLIO OT (OWNER)
- **Authorized official phone:** (704) 500-4879

## Contact information

- **Practice address:** 4407 MARATHON BLVD, AUSTIN, TX 78756-3428
- **Practice address phone:** (704) 500-4879
- **Mailing address:** 4407 MARATHON BLVD, AUSTIN, TX 78756-3428
- **Mailing address phone:** (704) 500-4879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | — | NULL | — |
| 2251G0304X | Geriatric Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/24/2024
- **Last updated:** 05/10/2024