Aaron Krejci Physical Therapy, Inc.
Organization Active NPI Physical Therapist · Bulverde, TX
NPI 1043344922 · NPPES record last updated Jun 14, 2012
Key facts
- NPI
- 1043344922
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- AARON KREJCI PHYSICAL THERAPY, INC.
- Practice address
- 2395 Bulverde Rd
Suite # 101
Bulverde, TX 78163-4571 - Phone
- (830) 980-6880
- Fax
- (830) 980-6881
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Aaron James Krejci, PT
- Title
- Owner
- Phone
- (830) 980-6880
Practitioners 6
-
Nicholas Prejean Leblanc, PT, DPT
-
Scott A. Matjeka, PT, DPT
-
Jennifer Claire Milliken, PT, DPT
-
Aaron James Krejci, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
2395 Bulverde Rd
Ste 101
Bulverde, TX 78163
Phone (830) 980-6880
2355 Bulverde Rd
#4
Bulverde, TX 78163
Phone (830) 980-6880
21 Spurs Ln
Ste 160
San Antonio, TX 78240
Phone (210) 696-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T3179 | Other | TX | BCBS |
| 8T3178 | Other | TX | BLUE CROSS BLUE SHIELD |
Other names
- Smithson Valley Physical Therapy
Other providers in Bulverde, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.