Professional Therapy Services

Key facts

NPI

1124034343

Entity type

Organization (NPI type 2)

Primary specialty

Physical Therapist 225100000X

License

636700002 (TX)

Legal business name

PROFESSIONAL THERAPY SERVICES

Practice address

8800 Village Dr
Ste 101
San Antonio, TX 78217

Phone

(210) 654-7428

Fax

(210) 654-8122

NPI assigned

Jul 31, 2006

Organization subpart

No

Authorized official

Name

Jennifer Dermont

Title

Clinic Supervisor

Phone

(210) 654-7428

Practitioners 11

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

• Patricia Barrera, PHYSICAL THERAPIST Physical Therapist · Lytle, TX · NPI 1194849554
  NPD (past) PHYSICAL THERAPIST
• Esther G. Basaldua, PT Physical Therapist · Lytle, TX · NPI 1962411603
  NPD (past) PHYSICAL THERAPIST
• Chara Marie Booker, DPT Physical Therapist · San Antonio, TX · NPI 1659325884
  NPD (past) PHYSICAL THERAPIST
• Dixie L. Carr-Heyn, PT Physical Therapist · San Antonio, TX · NPI 1780693440
  NPD (past) PHYSICAL THERAPIST
• Nancy Marion Gann, PT Physical Therapist · San Antonio, TX · NPI 1023027752
  NPD (past) PHYSICAL THERAPIST
• Garet Neal Gold, PT Physical Therapist · San Antonio, TX · NPI 1417965104
  NPD (past) PHYSICAL THERAPIST
• James R. Hartman, PT Physical Therapist · San Antonio, TX · NPI 1972512663
  NPD (past) PHYSICAL THERAPIST
• Keisha Lawson Community Health Worker · Lytle, TX · NPI 1417185521
  NPD (past)
• Mysti Moore, PT Physical Therapist · Lackland a F B, TX · NPI 1154309482
  NPD (past) PHYSICAL THERAPIST
• Barry Mark Morgan, P.T. Physical Therapist · San Antonio, TX · NPI 1972745131
  NPD (past) PHYSICAL THERAPIST
• Sheryl Nocito, PT Physical Therapist · Lytle, TX · NPI 1730352865
  NPD (past) PHYSICAL THERAPIST

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 16, 2012.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1124034343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14220 NORTHBROOK",
            "address_2": "STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78232",
            "telephone_number": "210-822-8807",
            "fax_number": "210-822-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 VILLAGE DR",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-654-7428",
            "fax_number": "210-654-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "DERMONT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINIC SUPERVISOR",
        "authorized_official_telephone_number": "210-654-7428"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "636700002",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "U46F",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0814931-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in San Antonio, TX · Physical Therapist in Texas