Individual provider Active NPI

Maria Jose Puente Guerra, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1043561327
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1219611 Issued in TX
Practice address
10839 Quarry Park
San Antonio, TX 78233
Phone
(210) 257-6260
NPI assigned
Sep 26, 2012
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1219611 TX
Physical Therapist 225100000X 1219611 TX Primary

Addresses

Primary practice location

10839 Quarry Park
San Antonio, TX 78233

Mailing address

PO Box 1607
San Antonio, TX 78296-1607
Phone (210) 558-6288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221019002844 TX Practitioner - Physical Therapist in Private Practice 4981967528 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation and Wellness LLCGroup PAC ID 1658840400, 2 clinicians
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

2804 Thousand Oaks Dr
San Antonio, TX 78232-4108
Phone (210) 788-4068

8715 Village Dr
Suite 120
San Antonio, TX 78217-5425
Phone (210) 477-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1219611TXMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jan 4, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jan 4, 2023 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 7, 2022 Accepting new patients
Lymphedema Clinix Texas LLC Physical Therapist CurrentSince Oct 2, 2025 Accepting new patients

Locations

18707 Hardy Oak Blvd
Ste 415
San Antonio, TX 78258
Phone 2104775151 ext. 108

2128 Babcock Rd
Bldg 2
San Antonio, TX 78229
Phone (210) 201-5433

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

8715 Village Dr
Ste 120
San Antonio, TX 78217
Phone (210) 653-5001

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1043561327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1607",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782961607",
            "telephone_number": "210-558-6288",
            "fax_number": "210-558-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10839 QUARRY PARK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78233",
            "telephone_number": "210-257-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "MARIA JOSE",
        "middle_name": "PUENTE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1219611",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1219611",
            "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 Jan 11, 2023; 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.