Active NPI
Dustin James Brewer, PT, DPT
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1093498545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1379630
- Practice address
- 11919 Culebra Rd Ste 101
San Antonio, TX 78253-2129 - Phone
- (210) 828-7557
- Fax
- (210) 828-7756
- NPI assigned
- Aug 10, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1379630 | TX | Primary |
Addresses
Primary practice location
11919 Culebra Rd Ste 101
San Antonio, TX 78253-2129
Mailing address
11919 Culebra Rd Ste 101
San Antonio, TX 78253-2129
Phone (210) 828-7557
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1379630 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1093498545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11919 CULEBRA RD STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782532129",
"telephone_number": "210-828-7557",
"fax_number": "210-828-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11919 CULEBRA RD STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782532129",
"telephone_number": "210-828-7557",
"fax_number": "210-828-7756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "DUSTIN",
"middle_name": "JAMES",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1379630",
"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 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.