NPIMap

Organization Active NPI

PT Home Services of San Antonio, Inc.

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1013126838
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
003402 Issued in TX
Legal business name
PT HOME SERVICES OF SAN ANTONIO, INC.
Practice address
40 NE Loop 410
#640
San Antonio, TX 78216-5828
Phone
(210) 342-2667
Fax
(210) 340-2416
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2017

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

Authorized official

Name
Robert Marx
Title
Board Member/President
Phone
(718) 468-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 003402 TX Primary

Addresses

Primary practice location

40 NE Loop 410
#640
San Antonio, TX 78216-5828

Mailing address

40 N E Loop 410
Suite 640
San Antonio, TX 78216-5827
Phone (718) 468-4747

Other identifiers 1

IdentifierTypeStateIssuer
024905401MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
PT Home Services of San Antonio Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1013126838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N E LOOP 410",
            "address_2": "SUITE 640",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165827",
            "telephone_number": "718-468-4747",
            "fax_number": "718-264-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NE LOOP 410",
            "address_2": "#640",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165828",
            "telephone_number": "210-342-2667",
            "fax_number": "210-340-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT HOME SERVICES OF SAN ANTONIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "BOARD MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "718-468-4747"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024905401",
            "state": "TX"
        }
    ],
    "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 Aug 25, 2017; 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.