Organization Active NPI

Catalyst Physical Therapy, P.L.L.C

  • Orthopedic Physical Therapist
  • San Antonio, TX
National Provider Identifier
1093917833
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
660970000 Issued in TX
Legal business name
CATALYST PHYSICAL THERAPY, P.L.L.C
Practice address
2210 NW Military Hwy
Sutie 101
San Antonio, TX 78213-1815
Phone
(210) 308-5558
Fax
(210) 308-5557
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Mr. Jorge Guerrero, PTNPI 1962522755
Title
Physical Therapist
Phone
(210) 308-5558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 660970000 TX Primary

Addresses

Primary practice location

2210 NW Military Hwy
Sutie 101
San Antonio, TX 78213-1815

Mailing address

2210 NW Military Hwy
Sutie 101
San Antonio, TX 78213-1815
Phone (210) 308-5558

Other identifiers 3

IdentifierTypeStateIssuer
1917973MedicaidTX
9312107OtherTXAETNA
0077QAOtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080404000669 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951488667 Receives reassigned benefits from 3 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

2010 NW Military Hwy
San Antonio, TX 78213
Phone (210) 308-5558

2210 NW Military Hwy
#101
San Antonio, TX 78213
Phone (210) 308-5558

2010 NW Military Hwy
Ste 101
San Antonio, TX 78213

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1093917833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 NW MILITARY HWY",
            "address_2": "SUTIE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131815",
            "telephone_number": "210-308-5558",
            "fax_number": "210-308-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 NW MILITARY HWY",
            "address_2": "SUTIE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131815",
            "telephone_number": "210-308-5558",
            "fax_number": "210-308-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST PHYSICAL THERAPY, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "210-308-5558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "660970000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1917973",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9312107",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0077QA",
            "state": "TX"
        }
    ],
    "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 Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.