Elisa G Vidaurri, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1132140 Issued in TX

Practice address

415 Embassy Oaks
202
San Antonio, TX 78216-2040

Phone

(210) 490-4738

Fax

(210) 490-5231

NPI assigned

Jun 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elisa.vidaurri.1@1438.direct.athenahealth.com

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.

• BHS Physicians Network, Inc

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1598958431
  Medicare reassignment Care Compare group NPD
• Liberty Rehabilitation Specialists Inc

  • Physical Therapist
  • San Antonio, TX
  • NPI 1912939414
  Medicare reassignment NPD
• BHS Physicians Network, Inc

  • Durable Medical Equipment & Medical Supplies
  • Boerne, TX
  • NPI 1730079286
  NPD
• Liberty Rehabilitation Specialists Inc

  • Physical Therapist
  • San Antonio, TX
  • NPI 1649295775
  NPD
• BHS Specialty Network Inc

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1831492651
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1013955434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 EMBASSY OAKS",
            "address_2": "202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162040",
            "telephone_number": "210-490-4738",
            "fax_number": "210-490-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 EMBASSY OAKS",
            "address_2": "202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162040",
            "telephone_number": "210-490-4738",
            "fax_number": "210-490-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAURRI",
        "first_name": "ELISA",
        "middle_name": "G",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1132140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7981357",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1132140",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margarita Vidal
• Sabrina Stephanie Vidal, COTA
• Alyssa Vidaurri, RN
• Daniela Alejandra Vidaurri
• Deborah E. Vidaurri
• Marco Vidaurri Jr., PHARMD
• Vidavitale Concierge Nursing LLC
• Naema Kalifa Vides, SLP
• Yehefri Vides, CSFA
• Johanna L. Vidola

• 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 Jun 5, 2013; 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.