Southlake BNPT Investment LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SOUTHLAKE BNPT INVESTMENT LLC

Practice address

8131 W Ih 10 Ste 125
San Antonio, TX 78230-3875

Phone

(210) 680-5033

Fax

(210) 680-6094

NPI assigned

Feb 4, 2020

Organization subpart

No

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

Authorized official

Name

John Braxton Neiman

Title

Managing Partner

Phone

(817) 421-0035

Specialties & licenses 1

Addresses

Other names 1

• Professional Therapy Services of Texas Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ingrid Anne Thies, PT

  • Physical Therapist
  • Canyon Lake, TX
  • NPI 1528875937
  Medicare reassignment Care Compare group NPD
• Travis Butler Cox, PT

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
  • NPI 1346250685
  Medicare reassignment Care Compare group
• Dustin Wayne Cross, P.T., MS

  • Physical Therapist
  • New Braunfels, TX
  • NPI 1669681391
  Medicare reassignment Care Compare group
• Samuel Zachary Doss, P.T.

  • Physical Therapist
  • Seguin, TX
  • NPI 1821368143
  Medicare reassignment Care Compare group
• Matthew Thomas Randel

  • Physical Therapist
  • San Antonio, TX
  • NPI 1114393139
  Medicare reassignment Care Compare group
• Avery Anne Weiss, PT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1912639113
  Medicare reassignment Care Compare group
• Ryan Delcambre, DPT

  • Physical Therapist
  • Bolingbrook, IL
  • NPI 1568911089

  TX

  Medicare reassignment Care Compare group
• Leslie Grant, DPT

  • Physical Therapist
  • Red Oak, TX
  • NPI 1407438088
  Care Compare group
• Matthew Ray Hernandez, DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1639696669
  NPD
• Carrie M. Hanaoka, PTA

  • Physical Therapy Assistant
  • San Antonio, TX
  • NPI 1184903866
  NPD (past)
• Emily Martinez, DPT

  • Physical Therapist
  • Kyle, TX
  • NPI 1609380153
  NPD (past)
• Donna Louise Mechler, PT

  • Physical Therapist
  • Seguin, TX
  • NPI 1326209636
  NPD (past)

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1205468683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S KIMBALL AVE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929023",
            "telephone_number": "817-421-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 W IH 10 STE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303875",
            "telephone_number": "210-680-5033",
            "fax_number": "210-680-6094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 N King St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Seguin",
            "state": "TX",
            "postal_code": "781555008",
            "country_code": "US",
            "telephone_number": "830-303-8631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "468 S Seguin Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781307670",
            "country_code": "US",
            "telephone_number": "830-606-8839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7637 Fm 3009 Unit 501",
            "address_purpose": "LOCATION",
            "city": "Schertz",
            "state": "TX",
            "postal_code": "781543746",
            "country_code": "US",
            "telephone_number": "210-680-5033",
            "fax_number": "210-680-6094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1356 Fm 2673",
            "address_purpose": "LOCATION",
            "city": "Canyon Lake",
            "state": "TX",
            "postal_code": "781334510",
            "country_code": "US",
            "telephone_number": "830-907-2145",
            "fax_number": "830-964-2373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34910 Interstate 10 W Ste 401",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780069267",
            "country_code": "US",
            "telephone_number": "830-282-6708",
            "fax_number": "830-331-4234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHLAKE BNPT INVESTMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "NEIMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRAXTON",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "817-421-0035"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Therapy Services of Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Therapy Services of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Southside Independent School District
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• Physical Therapy Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.