Individual provider Active NPI

Phillip J Trueman

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1104869023
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1099869 Issued in TX
Practice address
150 E Sonterra Blvd
300
San Antonio, TX 78258
Phone
(210) 489-7270
Fax
(210) 403-2445
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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 1099869 TX Primary

Addresses

Primary practice location

150 E Sonterra Blvd
300
San Antonio, TX 78258

Mailing address

150 E Sonterra Blvd
300
San Antonio, TX 78258
Phone (210) 489-7270

Other identifiers 2

IdentifierTypeStateIssuer
5897434OtherTXAETNA
8T4097OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901000124 TX Practitioner - Physical Therapist in Private Practice 3779558838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The San Antonio Orthopaedic Group LLPGroup PAC ID 6800798794, 143 clinicians

Practice addresses (Care Compare)

19138 US Hwy 281 N
San Antonio, TX 78258-4988
Phone (210) 804-5400

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The San Antonio Orthopaedic Group, LLP CurrentSince Apr 1, 2005 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Apr 1, 2005 Accepting new patients
The San Antonio Orthopaedic Group, LLP Physical Therapist Past Accepting new patients
Ideal Physical Therapy of Texas LLC Past Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
Long Ball LTD Physical Therapist PastSince Mar 1, 2003 Accepting new patients

Locations

150 E Sonterra Blvd
Ste 300
San Antonio, TX 78258
Phone (210) 489-7220

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

19138 US Highway 281 N
San Antonio, TX 78258
Phone (210) 253-2660

19138 US Highway 281 N
Ste 200
San Antonio, TX 78258
Phone (210) 489-7270

2829 Babcock Rd
Ste 700
San Antonio, TX 78229
Phone (210) 396-5270

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

400 Concord Plaza Dr
Ste 100
San Antonio, TX 78216
Phone (210) 253-2663

Interoperability endpoints

  • Direct secure messaging: phillip.trueman.pt.1@94.direct.athenahealth.com

Organizations & group practices 11

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1104869023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SONTERRA BLVD",
            "address_2": "300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-489-7270",
            "fax_number": "210-403-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SONTERRA BLVD",
            "address_2": "300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-489-7270",
            "fax_number": "210-403-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUEMAN",
        "first_name": "PHILLIP",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1099869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5897434",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T4097",
            "state": "TX"
        }
    ],
    "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 23, 2007; 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.