Organization Active NPI

Path to Wellness

  • Physical Therapy Clinic/Center
  • San Antonio, TX
National Provider Identifier
1164634101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PATH TO WELLNESS
Practice address
1550 NE Loop 410
Suite 204
San Antonio, TX 78209-1610
Phone
(210) 381-0044
Fax
(210) 822-8263
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia J. Rodriguez, PT, RMTNPI 1134299969
Title
Owner
Phone
(210) 381-0044

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
Physical Therapy Clinic/Center 261QP2000X TX Primary

Addresses

Primary practice location

1550 NE Loop 410
Suite 204
San Antonio, TX 78209-1610

Mailing address

1550 NE Loop 410
Suite 204
San Antonio, TX 78209-1610
Phone (210) 381-0044

Other identifiers 1

IdentifierTypeStateIssuer
0051JZOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

1550 NE Loop 410
Ste 2047
San Antonio, TX 78209
Phone (210) 832-8289

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164634101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 NE LOOP 410",
            "address_2": "SUITE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091610",
            "telephone_number": "210-381-0044",
            "fax_number": "210-822-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NE LOOP 410",
            "address_2": "SUITE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091610",
            "telephone_number": "210-381-0044",
            "fax_number": "210-822-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH TO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-381-0044",
        "authorized_official_credential": "PT, RMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0051JZ",
            "state": "TX"
        }
    ],
    "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 22, 2020; 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.