The Orthopedic Store

A Medicare group practice based in San Antonio, TX: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1355255977), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1355255977The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Physical/Occupational Therapy Group in Private Practice
Enrolled in
TX
Enrollments
1
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040424000189 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1225033145

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

Sources for this page