Individual provider Active NPI

Joseph Guardiola, PTA

  • Physical Therapy Assistant
  • San Antonio, TX
National Provider Identifier
1174123210
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2098482 Issued in TX
Practice address
3327 Research PLZ Ste 404
San Antonio, TX 78235-5159
Phone
(210) 396-5210
Fax
(210) 396-5333
NPI assigned
Oct 28, 2020
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2098482 TX Primary

Addresses

Primary practice location

3327 Research PLZ Ste 404
San Antonio, TX 78235-5159

Mailing address

201 Bristol Ave
San Antonio, TX 78214-2013
Phone (210) 922-0242

Other identifiers 1

IdentifierTypeStateIssuer
2098482OtherTXTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2098482TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1174123210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BRISTOL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142013",
            "telephone_number": "210-922-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 RESEARCH PLZ STE 404",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782355159",
            "telephone_number": "210-396-5210",
            "fax_number": "210-396-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDIOLA",
        "first_name": "JOSEPH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2098482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "2098482",
            "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 Oct 28, 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.