Individual provider Active NPI

Aaron McAnelly, PT, DPT, OCS

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1104335777
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1293851 Issued in TX
Practice address
10300 Heritage St Ste 160
San Antonio, TX 78216-3924
Phone
(580) 591-6021
NPI assigned
Sep 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X
Physical Therapist 225100000X 1293851 TX Primary

Addresses

Primary practice location

10300 Heritage St Ste 160
San Antonio, TX 78216-3924

Mailing address

9234 Fishers Hill Dr
San Antonio, TX 78240-2838
Phone (580) 591-6021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013001181 TX Practitioner - Physical Therapist in Private Practice 9537589528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revival Performance Physical TherapyGroup PAC ID 0941606784, 5 clinicians

Practice addresses (Care Compare)

10300 Heritage St
Suite 160
San Antonio, TX 78216-3924
Phone (210) 750-9004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revival Performance Physical Therapy Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Graciela Moreno, M.D., P.a. CurrentSince Oct 5, 2020 Accepting new patients

Locations

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

10300 Heritage St
Ste 160
San Antonio, TX 78216
Phone (210) 750-9004

2010 NW Military Hwy
Ste 101
San Antonio, TX 78213

Organizations & group practices 2

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": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1104335777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9234 FISHERS HILL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402838",
            "telephone_number": "580-591-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 HERITAGE ST STE 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163924",
            "telephone_number": "580-591-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANELLY",
        "first_name": "AARON",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2024-05-10",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1293851",
            "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 May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.