Individual provider Active NPI

Jacobo Eduardo Anaya, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1003685538
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2838 N Loop 1604 E Ste 102
San Antonio, TX 78232-1712
Phone
(210) 591-2074
NPI assigned
Dec 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2838 N Loop 1604 E Ste 102
San Antonio, TX 78232-1712

Mailing address

15950 Chase Hill Blvd Apt 8408
San Antonio, TX 78256-2666
Phone (956) 330-3904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222000875 TX Practitioner - Physical Therapist in Private Practice 0840634408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physical Therapy, LLCGroup PAC ID 2264423458, 104 clinicians

Practice addresses (Care Compare)

2838 N Loop 1604
Suite 102
San Antonio, TX 78232-1712
Phone (210) 591-2074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Jan 31, 2024 Accepting new patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Jan 31, 2024 Accepting new patients

Locations

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

112 W Queen Isabella Blvd
Ste A
Port Isabel, TX 78578
Phone (956) 410-1005

24200 Ih 10 W
Ste 107
San Antonio, TX 78257
Phone (210) 495-2117

2838 N Loop 1604 E
Ste 102
San Antonio, TX 78232
Phone (210) 591-2074

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1003685538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15950 CHASE HILL BLVD APT 8408",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562666",
            "telephone_number": "956-330-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 N LOOP 1604 E STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321712",
            "telephone_number": "210-591-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAYA",
        "first_name": "JACOBO",
        "middle_name": "EDUARDO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.