Kingsway Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KINGSWAY PHYSICAL THERAPY LLC

Practice address

5309 Wurzbach Rd Ste 101
San Antonio, TX 78238-2431

Phone

(210) 759-9757

Fax

(210) 761-5191

NPI assigned

Nov 26, 2008

Organization subpart

No

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

Authorized official

Name

Oluwanishola BashorunNPI 1184761116

Title

Owner/Founder

Phone

(210) 759-9757

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Oluwanishola Bashorun, M.S. P.T.

  • Physical Therapist
  • San Antonio, TX
  • NPI 1184761116
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1144475534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 WURZBACH RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382431",
            "telephone_number": "210-759-9757",
            "fax_number": "210-761-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 WURZBACH RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382431",
            "telephone_number": "210-759-9757",
            "fax_number": "210-761-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "BASHORUN",
        "authorized_official_first_name": "OLUWANISHOLA",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "210-759-9757"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ofayo Kingsberry
• Brittany Dawn Kingsbury, LCSW
• Diane Kingseed
• Christina Kingsley, LPC
• Michael S Kingsley, RPH
• Timothy Kiniry
• Christopher Todd Kinna, PMHNP
• Billy Eugene Kinnaman Jr.
• Courtney Alis Kinney, PHARM. D
• Elise Kinney

• Physical Therapy Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.