Individual provider Active NPI

Justin Papke

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
National Provider Identifier
1073161592
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
3123730 Issued in TX
Practice address
10415 State Highway 151 Ste 101
San Antonio, TX 78251-4553
Phone
(210) 647-9970
Fax
(210) 647-7229
NPI assigned
Aug 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 3123730 TX Primary

Addresses

Primary practice location

10415 State Highway 151 Ste 101
San Antonio, TX 78251-4553

Mailing address

10415 State Highway 151 Ste 101
San Antonio, TX 78251-4553
Phone (210) 647-9970

Other identifiers 1

IdentifierTypeStateIssuer
3123730OtherTXTEXAS BOARD OF PT EXAMINERS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL billing@promopt.org Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021003181 TX Practitioner - Physical Therapist in Private Practice 5496087629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
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)

10415 State Hwy 151 101
San Antonio, TX 78251-4553
Phone (210) 647-9970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3123730TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promotion Physical Therapy, P.C. CurrentSince Aug 5, 2019 Accepting new patients

Locations

10415 State Highway 151
San Antonio, TX 78251
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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1073161592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 STATE HIGHWAY 151 STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514553",
            "telephone_number": "210-647-9970",
            "fax_number": "210-647-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 STATE HIGHWAY 151 STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514553",
            "telephone_number": "210-647-9970",
            "fax_number": "210-647-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPKE",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "3123730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PT EXAMINERS",
            "identifier": "3123730",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "billing@promopt.org",
            "affiliation": "N",
            "endpointDescription": "compant email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "health information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health information",
            "address_1": "10415 State Highway 151 Ste 101",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782514553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 28, 2019; 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.