NPIMap

Organization Active NPI

Aaron Krejci Physical Therapy, Inc.

Doing business as Smithson Valley Physical Therapy

  • Physical Therapist
  • Bulverde, TX
National Provider Identifier
1043344922
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AARON KREJCI PHYSICAL THERAPY, INC.
Doing business as
Smithson Valley Physical Therapy
Practice address
2395 Bulverde Rd
Suite # 101
Bulverde, TX 78163-4571
Phone
(830) 980-6880
Fax
(830) 980-6881
NPI assigned
Mar 15, 2007
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Mr. Aaron James Krejci, PTNPI 1902838667
Title
Owner
Phone
(830) 980-6880

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 110020 TX

Addresses

Primary practice location

2395 Bulverde Rd
Suite # 101
Bulverde, TX 78163-4571

Mailing address

2395 Bulverde Rd
Suite # 101
Bulverde, TX 78163-4571
Phone (830) 980-6880

Other names 1

  • Smithson Valley Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120926000491 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567650948 Receives reassigned benefits from 6 practitioners
Practice locations: Bulverde, TX

National Provider Directory

National Provider Directory

Locations

2355 Bulverde Rd
#4
Bulverde, TX 78163
Phone (830) 980-6880

2395 Bulverde Rd
Ste 101
Bulverde, TX 78163
Phone (830) 980-6880

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1043344922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 BULVERDE RD",
            "address_2": "SUITE # 101",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781634571",
            "telephone_number": "830-980-6880",
            "fax_number": "830-980-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 BULVERDE RD",
            "address_2": "SUITE # 101",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781634571",
            "telephone_number": "830-980-6880",
            "fax_number": "830-980-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON KREJCI PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "KREJCI",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-980-6880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smithson Valley Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bulverde, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.