Individual provider Active NPI

Melissa Rene Swenson, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1093231797
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1293965 Issued in TX
Practice address
3922 Wiseman Blvd
BLDG V Suite 502
San Antonio, TX 78251
Phone
(210) 775-6655
Fax
(210) 761-7291
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 1293965 TX Primary

Addresses

Primary practice location

3922 Wiseman Blvd
BLDG V Suite 502
San Antonio, TX 78251

Mailing address

3922 Wiseman Blvd
BLDG V Suite 502
San Antonio, TX 78251
Phone (210) 775-6655

Other names 1

  • Melissa Moreno Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171019002407 TX Practitioner - Physical Therapist in Private Practice 7113293077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic San Antonio PLLCGroup PAC ID 7012286438, 29 clinicians

Practice addresses (Care Compare)

3922 Wiseman Blvd
BLDG V Suite 502
San Antonio, TX 78251-1600
Phone (210) 775-6655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic San Antonio PLLC Physical Therapist CurrentSince Dec 26, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Feb 1, 2018 Accepting new patients

Locations

524 Singing Oaks
Ste 210
Bulverde, TX 78070
Phone (830) 256-7578

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

8910 Bandera Rd
Ste 112
San Antonio, TX 78250
Phone (210) 318-3979

3922 Wiseman Blvd
Ste 502
San Antonio, TX 78251
Phone (210) 775-6655

2833 Babcock Rd
Ste 435
San Antonio, TX 78229
Phone (210) 580-6496

21918 US Highway 281 N
Ste 105
San Antonio, TX 78258
Phone (210) 580-5857

3903 Wiseman Blvd
Ste 311
San Antonio, TX 78251
Phone (210) 593-0578

1123 N Main Ave
Ste 211
San Antonio, TX 78212
Phone (210) 226-2101

423 Treeline Park
Ste 320
San Antonio, TX 78209
Phone (210) 703-9890

17026 Bulverde Rd
Ste 108
San Antonio, TX 78247
Phone (210) 819-2994

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1093231797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 WISEMAN BLVD",
            "address_2": "BLDG V SUITE 502",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-775-6655",
            "fax_number": "210-761-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 WISEMAN BLVD",
            "address_2": "BLDG V SUITE 502",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-775-6655",
            "fax_number": "210-761-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "MELISSA",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1293965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MORENO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 21, 2023; 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.

Verify at the official NPI Registry.