Individual provider Active NPI

Clayton Ozanich

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1114751815
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1399864 Issued in TX
Practice address
10622 State Highway 151 Ste 204
San Antonio, TX 78251-4729
Phone
(210) 798-8576
NPI assigned
Aug 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 1399864 TX Primary

Addresses

Primary practice location

10622 State Highway 151 Ste 204
San Antonio, TX 78251-4729

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (726) 202-3039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240919002635 TX Practitioner - Physical Therapist in Private Practice 5193266963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine Associates of San Antonio PAGroup PAC ID 3274525548, 55 clinicians

Practice addresses (Care Compare)

10622 State Hwy 151
Suite 204
San Antonio, TX 78251-4864
Phone (210) 699-8326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists CurrentSince Aug 26, 2024 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Aug 26, 2024 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

10622 State Highway 151
Ste 204
San Antonio, TX 78251
Phone (210) 798-8576

2803 NE Loop 410
Ste 106
San Antonio, TX 78218
Phone (210) 436-8520

Organizations & group practices 5

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1114751815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "726-202-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10622 STATE HIGHWAY 151 STE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514729",
            "telephone_number": "210-798-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZANICH",
        "first_name": "CLAYTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1399864",
            "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 Aug 27, 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.