Mardel Judith Minaldo, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1221419 Issued in TX

Practice address

5726 W Hausman Rd Ste 100
San Antonio, TX 78249-1651

Phone

(210) 749-9414

NPI assigned

Sep 3, 2019

Last updated

Dec 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mardel Judith Perez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Outcomes Wound Therapy PLLC

  dba Acumend

  • Nurse Practitioner
  • Austin, TX
  • NPI 1124820980
  NPD (past)

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1003464066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 W HAUSMAN RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491651",
            "telephone_number": "210-749-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 W HAUSMAN RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491651",
            "telephone_number": "210-749-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10818 Rue Des Lac",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782494139",
            "country_code": "US",
            "telephone_number": "210-749-9414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINALDO",
        "first_name": "MARDEL",
        "middle_name": "JUDITH",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1221419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARDEL",
            "last_name": "PEREZ",
            "middle_name": "JUDITH",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lacee Belle Mims
• Ester Min
• Eman Mina, MD
• Maged M Mina, MD
• Marina Maged Mina, MD
• Lindsay M Minarovic, LCSW
• Pamala A Minatra, PTA
• Kimberlee Mincey, PHD
• Mind & Body Connection PLLC
• Mind Body Clarity Inc.

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.