Organization Active NPI

Carpenter Health Management, LLC

  • Physical Therapist
  • Boerne, TX
National Provider Identifier
1013348788
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1127710 Issued in TX
Legal business name
CARPENTER HEALTH MANAGEMENT, LLC
Practice address
1510 South Main St.
Boerne, TX 78006-2945
Phone
(830) 816-4357
Fax
(830) 331-8718
NPI assigned
Dec 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Mrs. Enid Cazares
Title
Insurance
Phone
(830) 816-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1127710 TX Primary

Addresses

Primary practice location

1510 South Main St.
Boerne, TX 78006-2945

Mailing address

1510 South Main St.
Boerne, TX 78006-2945
Phone (830) 816-4357

National Provider Directory

National Provider Directory

Locations

1510 S Main St
Boerne, TX 78006
Phone (210) 298-4900

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1013348788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 SOUTH MAIN ST.",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062945",
            "telephone_number": "830-816-4357",
            "fax_number": "830-331-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 SOUTH MAIN ST.",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062945",
            "telephone_number": "830-816-4357",
            "fax_number": "830-331-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARPENTER HEALTH MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "CAZARES",
        "authorized_official_first_name": "ENID",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "830-816-4357",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1127710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.