NPIMap

Organization Active NPI

Foundation Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • San Antonio, TX
National Provider Identifier
1104103852
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FOUNDATION PHYSICAL THERAPY, PLLC
Practice address
23127 Ih 10 West
Suite 203
San Antonio, TX 78257-2506
Phone
(210) 698-6333
Fax
(210) 698-6332
NPI assigned
Nov 9, 2011
Last updated
Oct 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Christian Compean, P.T.
Title
Ceo/Physical Therapist
Phone
(210) 698-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

23127 Ih 10 West
Suite 203
San Antonio, TX 78257-2506

Mailing address

23127 Ih 10 W
Suite 203
San Antonio, TX 78257-2506
Phone (210) 698-6333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120912000229 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648428987 Receives reassigned benefits from 14 practitioners
Practice locations: Boerne, TX; San Antonio, TX

National Provider Directory

National Provider Directory

Locations

905 N Main St
Ste 103
Boerne, TX 78006
Phone (830) 816-5333

23127 W Interstate 10
Ste 203
San Antonio, TX 78257
Phone (210) 698-6332

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1104103852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23127 IH 10 W",
            "address_2": "SUITE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572506",
            "telephone_number": "210-698-6333",
            "fax_number": "210-698-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23127 IH 10 WEST",
            "address_2": "SUITE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782572506",
            "telephone_number": "210-698-6333",
            "fax_number": "210-698-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "COMPEAN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "210-698-6333",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Oct 12, 2012; 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.