Organization Active NPI

Geriatric and Physical Therapy of San Antonio PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1184552341
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
GERIATRIC AND PHYSICAL THERAPY OF SAN ANTONIO PLLC
Practice address
3619 Paesanos Pkwy Ste 112
San Antonio, TX 78231-1263
Phone
(726) 234-3227
NPI assigned
May 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Authorized official

Name
Dr. Paul Royal Priest, M.D.NPI 1093036329
Title
Medical Director
Phone
(726) 234-3227

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
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

3619 Paesanos Pkwy Ste 112
San Antonio, TX 78231-1263

Mailing address

3619 Paesanos Pkwy Ste 112
San Antonio, TX 78231-1263

Other names 1

  • The Longevity Practice Doing business as

National Provider Directory

National Provider Directory

Locations

3619 Paesanos Pkwy
Ste 112
Shavano Park, TX 78231
Phone (210) 455-2000

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": "1778284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778284800000",
    "number": "1184552341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 PAESANOS PKWY STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PAESANOS PKWY STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311263",
            "telephone_number": "726-234-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC AND PHYSICAL THERAPY OF SAN ANTONIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-09",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A",
        "authorized_official_last_name": "ROYAL PRIEST",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "726-234-3227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Longevity Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 9, 2026; 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.