Active NPI
Justin Papke
- Physical Medicine & Rehabilitation Physician
- San Antonio, TX
National Provider Identifier
1073161592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 3123730
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3123730 | Other | TX | TEXAS BOARD OF PT EXAMINERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | billing@promopt.org | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3123730 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promotion Physical Therapy, P.C. | Current | 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.
-
- Physical Therapist
- San Antonio, TX
- NPI 1689665945
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.