Individual provider Active NPI

Anthony Paul Flesuras, ATC, PTA

  • Athletic Trainer
  • Garden Ridge, TX
National Provider Identifier
1104007046
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
18945 FM 2252
Garden Ridge, TX 78266
Phone
(210) 651-0027
Fax
(210) 651-0029
NPI assigned
Nov 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X CA Primary

Addresses

Primary practice location

18945 FM 2252
Garden Ridge, TX 78266

Mailing address

18945 FM 2252 Ste 115
Garden Ridge, TX 78266-2797
Phone (866) 595-6379

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

LicenseStateTypeSpecialty
020402073CAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Medical Past Accepting new patients

Organizations & group practices 1

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": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1104007046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18945 FM 2252 STE 115",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662797",
            "telephone_number": "866-595-6379",
            "fax_number": "210-651-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18945 FM 2252",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "78266",
            "telephone_number": "210-651-0027",
            "fax_number": "210-651-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLESURAS",
        "first_name": "ANTHONY",
        "middle_name": "PAUL",
        "credential": "ATC, PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Ridge, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.