Organization Active NPI

New Braunfels Physical Therapy, Inc.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1114157237
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11109 Issued in TX
Legal business name
NEW BRAUNFELS PHYSICAL THERAPY, INC.
Practice address
930 Proton Rd Ste 104
San Antonio, TX 78258-4232
Phone
(210) 545-1810
Fax
(210) 545-1811
NPI assigned
Jul 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Charles Alexander Oliver, D.C.NPI 1386886422
Title
Chiropractor/President
Phone
(210) 545-1810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 11109 TX Primary

Addresses

Primary practice location

930 Proton Rd Ste 104
San Antonio, TX 78258-4232

Mailing address

930 Proton Rd Ste 104
San Antonio, TX 78258-4232
Phone (210) 545-1810

Other names 1

  • Comprehensive Chiropractic & Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Chiropractic and Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

930 Proton Rd
Ste 104
San Antonio, TX 78258
Phone (210) 545-1810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1114157237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 PROTON RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584232",
            "telephone_number": "210-545-1810",
            "fax_number": "210-545-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 PROTON RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584232",
            "telephone_number": "210-545-1810",
            "fax_number": "210-545-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRAUNFELS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "210-545-1810",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Chiropractic & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.