NPIMap

Organization Active NPI

High Five Rehab LLC

  • Rehabilitation Clinic/Center
  • San Antonio, TX
National Provider Identifier
1164847166
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
HIGH FIVE REHAB LLC
Doing business as
High Five Kids Therapy
Practice address
102 Palo Alto Rd Ste 120
San Antonio, TX 78211-3773
Phone
(210) 922-1785
Fax
(210) 922-1782
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Juan PerezNPI 1104092121
Title
Administrator
Phone
(210) 922-1785

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

102 Palo Alto Rd Ste 120
San Antonio, TX 78211-3773

Mailing address

102 Palo Alto Rd Ste 120
San Antonio, TX 78211-3773
Phone (210) 922-1785

Other identifiers 1

IdentifierTypeStateIssuer
1164847166MedicaidTX

Other names 1

  • High Five Kids Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241022003614 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8325570807 Practice locations: San Antonio, TX

Outpatient physical therapy / speech pathology certification: CCN 676807

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HIGH FIVE KIDS THERAPY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
May 14, 2025
Last certification
May 14, 2025
Ownership / control type
Proprietary
Facility address
102 Palo Alto Rd Ste 120
San Antonio, TX 78211

National Provider Directory

National Provider Directory
Tax ID family
High Five Kids 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

102 Palo Alto Rd
Ste 120
San Antonio, TX 78211
Phone (210) 818-2210

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": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1164847166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113773",
            "telephone_number": "210-922-1785",
            "fax_number": "210-922-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113773",
            "telephone_number": "210-922-1785",
            "fax_number": "210-922-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH FIVE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-922-1785"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164847166",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Five Kids Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "High Five Kids Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.