Individual provider Active NPI

Vanessa Oliva, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1063888725
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1264596 Issued in TX
Practice address
7555 NW Loop 410
Suite 114
San Antonio, TX 78245-2353
Phone
(210) 521-7054
Fax
(210) 520-8573
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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 1264596 TX Primary

Addresses

Primary practice location

7555 NW Loop 410
Suite 114
San Antonio, TX 78245-2353

Mailing address

12003 Agnew RDG
San Antonio, TX 78254-5010
Phone (210) 844-2926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150925001910 TX Practitioner - Physical Therapist in Private Practice 2961710876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promotion Physical Therapy, P.C.Group PAC ID 9335164474, 19 clinicians

Practice addresses (Care Compare)

16530 Huebner Rd
Suite 119
San Antonio, TX 78248-1699
Phone (210) 479-3334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Promotion Physical Therapy, P.C. Physical Therapist CurrentSince Aug 8, 2023 Accepting new patients

Locations

10415 State Highway 151
San Antonio, TX 78251
Phone (210) 479-3334

16530 Huebner Rd
Ste 119
San Antonio, TX 78248
Phone (210) 479-3334

10415 State Highway 151
Ste 101
San Antonio, TX 78251
Phone (210) 647-1167

Organizations & group practices 1

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1063888725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12003 AGNEW RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545010",
            "telephone_number": "210-844-2926",
            "fax_number": "210-520-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 NW LOOP 410",
            "address_2": "SUITE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452353",
            "telephone_number": "210-521-7054",
            "fax_number": "210-520-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVA",
        "first_name": "VANESSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1264596",
            "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 Aug 18, 2015; 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.