Individual provider Active NPI

Phaidra Reese Malcher, DPT, PT

  • Physical Therapist
  • Floresville, TX
National Provider Identifier
1104778455
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1407860 Issued in TX
Practice address
917 10TH St Ste 111
Floresville, TX 78114-1874
Phone
(830) 393-8800
Fax
(830) 393-8828
NPI assigned
Feb 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1407860 TX Primary

Addresses

Primary practice location

917 10TH St Ste 111
Floresville, TX 78114-1874

Mailing address

12952 Bandera Rd Ste 107
Helotes, TX 78023-4733
Phone (830) 393-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224001781 TX Practitioner - Physical Therapist in Private Practice 1658852017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

917 10TH St
Suite 111
Floresville, TX 78114-1874
Phone (800) 939-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1407860TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Feb 11, 2026 Accepting new patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Feb 11, 2026 Accepting new patients

Locations

917 10th St
Ste 111
Floresville, TX 78114
Phone (800) 939-8800

12952 Bandera Rd
Ste 107
Helotes, TX 78023
Phone (210) 372-9600

5441 Babcock Rd
Ste 103
San Antonio, TX 78240
Phone (210) 253-3888

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": "1770681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1104778455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD STE 107",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234733",
            "telephone_number": "830-393-8800",
            "fax_number": "830-393-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 10TH ST STE 111",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781141874",
            "telephone_number": "830-393-8800",
            "fax_number": "830-393-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCHER",
        "first_name": "PHAIDRA",
        "middle_name": "REESE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floresville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.