Organization Active NPI

Concentra

  • Clinic/Center
  • San Antonio, TX
National Provider Identifier
1174865984
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
211696 Issued in TX
Legal business name
CONCENTRA
Practice address
10200 Broadway St
Suite 201
San Antonio, TX 78217-4431
Phone
(210) 654-8787
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Mr. David E Massing, MPT
Title
Area Therapy Director
Phone
(210) 569-2153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 211696 TX Primary

Addresses

Primary practice location

10200 Broadway St
Suite 201
San Antonio, TX 78217-4431

Mailing address

10200 Broadway St
Suite 201
San Antonio, TX 78217-4431
Phone (210) 654-8787

National Provider Directory

National Provider Directory

Locations

10200 Broadway
Ste 201
San Antonio, TX 78217
Phone (210) 654-3731

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1174865984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 BROADWAY ST",
            "address_2": "SUITE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174431",
            "telephone_number": "210-654-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 BROADWAY ST",
            "address_2": "SUITE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174431",
            "telephone_number": "210-654-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "MASSING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AREA THERAPY DIRECTOR",
        "authorized_official_telephone_number": "210-569-2153",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "211696",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 19, 2013; 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.