Boerne Spectrum Physical Therapy Clinic

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1164493 Issued in TX

Legal business name

BOERNE SPECTRUM PHYSICAL THERAPY CLINIC

Practice address

264 Horse HL
Boerne, TX 78006-1963

Phone

(830) 331-9443

NPI assigned

Sep 26, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Stephen Malone, MSPTNPI 1487750642

Title

Owner/Physical Therapist

Phone

(830) 331-9443

Specialties & licenses 1

Addresses

Other names 1

• Spectrum Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Stephen Malone, PT MT

  • Physical Therapist
  • Kerrville, TX
  • NPI 1487750642
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253923200000",
    "number": "1003140831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 HORSE HL",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061963",
            "telephone_number": "830-331-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 HORSE HL",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061963",
            "telephone_number": "830-331-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERNE SPECTRUM PHYSICAL THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-26",
        "last_updated": "2009-09-26",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "830-331-9443",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1164493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boerne Optical LTD 1
• Boerne Orthodontics, PLLC
• Boerne Pediatrics
• Boerne Physical Therapy Institute
• Boerne Regen and Anti-Aging Center, PLLC
• Boerne Speech Therapy, LLC
• Boerne TX Familty Dentistry PLLC
• Boerne Vision Center PA
• Boerne Wellness Chiropractic, P. a.
• Boerne Women'S Care, PLLC

• Physical Therapy Clinic/Center in Boerne, TX
• Providers in Boerne, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.