Individual provider Active NPI

Eduardo Moreno Beaupuits

  • Orthopedic Physical Therapist
  • San Antonio, TX
National Provider Identifier
1053134361
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1239790 Issued in TX
Practice address
5410 Fredericksburg Rd Ste 100
San Antonio, TX 78229-3550
Phone
(210) 541-0058
Fax
(210) 525-1228
NPI assigned
Nov 5, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 1239790 TX
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 1239790 TX Primary

Addresses

Primary practice location

5410 Fredericksburg Rd Ste 100
San Antonio, TX 78229-3550

Mailing address

5410 Fredericksburg Rd Ste 100
San Antonio, TX 78229-3550
Phone (210) 541-0058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1239790TXMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
VHS San Antonio Partners, LLC PastSince Nov 10, 2024 Accepting new patients
VHS San Antonio Partners LLC PastSince Nov 10, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1053134361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 FREDERICKSBURG RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293550",
            "telephone_number": "210-541-0058",
            "fax_number": "210-525-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 FREDERICKSBURG RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293550",
            "telephone_number": "210-541-0058",
            "fax_number": "210-525-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO BEAUPUITS",
        "first_name": "EDUARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1239790",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1239790",
            "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 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.