Active NPI
Active Evolution Physical Therapy
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1013626423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ACTIVE EVOLUTION PHYSICAL THERAPY
- Practice address
- 12370 Potranco Rd Ste 207
San Antonio, TX 78253-4261 - Phone
- (210) 570-4312
- NPI assigned
- Nov 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arielle Garcia, PT, DPT, COMT
- Title
- Physical Therapist
- Phone
- (956) 451-8204
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
12370 Potranco Rd Ste 207
San Antonio, TX 78253-4261
Mailing address
12370 Potranco Rd Ste 207
San Antonio, TX 78253-4261
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fort Sam Houston, TX
- NPI 1801398417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668470400000",
"number": "1013626423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12370 POTRANCO RD STE 207",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782534261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12370 POTRANCO RD STE 207",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782534261",
"telephone_number": "210-570-4312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVE EVOLUTION PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "ARIELLE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "956-451-8204",
"authorized_official_credential": "PT, DPT, COMT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY 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 Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.