Organization Active NPI

Pediatric Health Therapy, Inc

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1073938437
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 19, 2022

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.