Individual provider Active NPI

Joshua Trock, PT,DPT,RVT,CLT,CEWS

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1063825545
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1207956 Issued in TX
Practice address
18831 Meisner Dr
San Antonio, TX 78258-4240
Phone
(210) 622-8000
Fax
(210) 625-5151
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1207956 TX Primary

Addresses

Primary practice location

18831 Meisner Dr
San Antonio, TX 78258-4240

Mailing address

18330 Apache Springs Dr
San Antonio, TX 78259-3603
Phone (210) 249-8420

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1207956TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Vein Clinic CurrentSince Nov 3, 2024 Accepting new patients
Amistad Homecare, Inc PastSince Jun 1, 2020 Accepting new patients

Locations

18831 Meisner Dr
San Antonio, TX 78258
Phone (210) 622-8000

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1063825545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18330 APACHE SPRINGS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593603",
            "telephone_number": "210-249-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18831 MEISNER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584240",
            "telephone_number": "210-622-8000",
            "fax_number": "210-625-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROCK",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "PT,DPT,RVT,CLT,CEWS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1207956",
            "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 Oct 30, 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.