NPIMap

Organization Active NPI

University of Texas Health Science Center at San Antonio

Doing business as UTHSCSA - Rehab Engineering Lab

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
National Provider Identifier
1114024718
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
101005 Issued in TX
Legal business name
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
Doing business as
UTHSCSA - Rehab Engineering Lab
Practice address
7703 Floyd Curl Drive
6TH Floor - 638E
San Antonio, TX 78229-3901
Phone
(210) 450-6470
Fax
(210) 200-6315
NPI assigned
Sep 19, 2006
Last updated
Mar 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Andrea Marks
Title
VP & Cfo
Phone
(210) 450-4621

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X 101005 TX Primary

Addresses

Primary practice location

7703 Floyd Curl Drive
6TH Floor - 638E
San Antonio, TX 78229-3901

Mailing address

8431 Fredericksburg Road
Floor 1
San Antonio, TX 78229-3392
Phone (210) 450-9000

Other identifiers 1

IdentifierTypeStateIssuer
086678201MedicaidTX

Other names 1

  • UTHSCSA - Rehab Engineering Lab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040607000664 TX Part B Supplier - Clinic/Group Practice 0042128548 Receives reassigned benefits from 2,474 practitioners
40 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20100930070723 TX DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 0042128548 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Uthscsa MSP Radiology14 organizations share this tax ID, including this one
Part of
Uthscsa MSP Radiology

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

7703 Floyd Curl Dr
Fl 6
San Antonio, TX 78229
Phone (210) 450-6470

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ut Health San Antonio Multispecialty & Research HospitalSan Antonio, TX, CCN 670335 Hospital Operational/Managerial Control Jan 1, 1975

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1114024718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8431 FREDERICKSBURG ROAD",
            "address_2": "FLOOR 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293392",
            "telephone_number": "210-450-9000",
            "fax_number": "210-450-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DRIVE",
            "address_2": "6TH FLOOR - 638E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-450-6470",
            "fax_number": "210-200-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "210-450-4621"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086678201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UTHSCSA - Rehab Engineering Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.