Active NPI
Anthony Paul Flesuras, ATC, PTA
- Athletic Trainer
- Garden Ridge, TX
National Provider Identifier
1104007046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 020402073 | CA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Health Service Clinic/Center
- Garden Ridge, TX
- NPI 1215125067
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
- Eudaimonia Health Services
- Everlight Precision Laboratory Limited Liability Company
- Fe Care Inc
- Felber & Associates LLC
- Melissa May Fisher
- Carol Renee Flores-Whorton, LPC
- Lela Flowers-Brown, MA, LPC
- Angela Gallo Garcia, RMA
- Garden Ridge Christian Counseling
- Garden Ridge Physical Therapy and Wellness Center, P.C.
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.