Individual provider Active NPI

Martin Vicente Antonio Castaneda, PT, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1093191561
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1262240 Issued in TX
Practice address
2235 Thousand Oaks Dr
Ste 117
San Antonio, TX 78232-3966
Phone
(210) 403-2871
Fax
(210) 490-5921
NPI assigned
Aug 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1262240 TX Primary

Addresses

Primary practice location

2235 Thousand Oaks Dr
Ste 117
San Antonio, TX 78232-3966

Mailing address

2235 Thousand Oaks Dr
Ste 117
San Antonio, TX 78232-3966
Phone (210) 403-2871

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)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1093191561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 THOUSAND OAKS DR",
            "address_2": "STE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323966",
            "telephone_number": "210-403-2871",
            "fax_number": "210-490-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 THOUSAND OAKS DR",
            "address_2": "STE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323966",
            "telephone_number": "210-403-2871",
            "fax_number": "210-490-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "MARTIN",
        "middle_name": "VICENTE ANTONIO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1262240",
            "primary": true
        }
    ],
    "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 Aug 6, 2015; 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.