Active NPI
Pediatric Health Therapy, Inc
- Home Health Agency
- San Antonio, TX
National Provider Identifier
1073938437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PEDIATRIC HEALTH THERAPY, INC
- Practice address
- 25315 Boerne Stage Rd # 2
San Antonio, TX 78255-9526 - Phone
- (210) 251-2048
- Fax
- (210) 248-9088
- NPI assigned
- Feb 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Pena
- Title
- Ceo
- Phone
- (210) 251-2048
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
25315 Boerne Stage Rd # 2
San Antonio, TX 78255-9526
Mailing address
25315 Boerne Stage Road #2
San Antonio, TX 78255-3142
Phone (210) 649-0721
National Provider Directory
National Provider DirectoryLocations
4207 Gardendale St
Ste 102B
San Antonio, TX 78229
Phone (210) 614-6040
25315 Boerne Stage Rd
#2
San Antonio, TX 78255
Phone (210) 251-2048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652918400000",
"number": "1073938437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25315 BOERNE STAGE ROAD #2",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782553142",
"telephone_number": "210-649-0721",
"fax_number": "210-276-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25315 BOERNE STAGE RD # 2",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782559526",
"telephone_number": "210-251-2048",
"fax_number": "210-248-9088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC HEALTH THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-21",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A",
"authorized_official_last_name": "PENA",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "210-251-2048"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Pedi Spot LLC
- Pedia Pros Home Health, Inc.
- Pediatric Anesthesia Consultants of San Antonio PLLC
- Pediatric Dentistry of San Antonio
- Pediatric Ear, Nose & Throat Institute of South Texas
- Pediatric Heroes Primary Care Clinic, PLLC
- Pediatric Home Healthcare, LLC
- Pediatric Hospital Care Associates
- Pediatric Infectious Diseases Associates PA
- Pediatric Inpatient Critical Care Services PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.