Active NPI
Carlos Valencia
- Orthopedic Physical Therapist
- Lakeway, TX
National Provider Identifier
1083455612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1392540
- Practice address
- 200 Medical Pkwy Ste 260
Lakeway, TX 78738-1796 - Phone
- (737) 237-0016
- NPI assigned
- Jun 6, 2024
- Last updated
- Jun 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1392540 | TX | Primary |
Addresses
Primary practice location
200 Medical Pkwy Ste 260
Lakeway, TX 78738-1796
Mailing address
2511 Rogers CV
San Antonio, TX 78258-4602
Phone (210) 334-5358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1392540 | TX | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1083455612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 ROGERS CV",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584602",
"telephone_number": "210-334-5358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL PKWY STE 260",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787381796",
"telephone_number": "737-237-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "CARLOS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1392540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeway, TX
- Tristan L Wild OD PLLC (Lakeway Vision Associates)
- Kelly Turner, RN
- U S Anesthesia Partners of Texas
- Urgent Care Docs of Texas, PA (Urgent Care Plus William Cannon, LLC)
- Urology Austin PLLC
- Manshi Valluri Mallepogu, MD
- Maryam Varasteh-Kashani, ANP
- Harrison Varnell, PT, DPT
- Brian Louis Vasquez, PH.D.
- Venture Mobile Massage, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.