The Orthopedic Store

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

643020000 Issued in TX

Legal business name

THE ORTHOPEDIC STORE

Practice address

1211 Arion Pkwy
Suite 100
San Antonio, TX 78216-2808

Phone

(210) 366-2990

Fax

(210) 499-4984

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John Randolph Harig

Title

President/Owner

Phone

(210) 366-2990

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Orthopedic Store

  • Physical Therapist
  • San Antonio, TX
  • NPI 1164421376

  O20040424000189

  Same enrollment
• The Orthopedic Store

  • Rehabilitation Clinic/Center
  • Austin, TX
  • NPI 1407855760

  O20040424000189

  Same enrollment

Tax ID family

The Orthopedic Store4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• The Orthopedic Store

  • Prosthetic/Orthotic Supplier
  • Corpus Christi, TX
  • NPI 1134128366
  NPD tax ID
• The Orthopedic Store

  • Physical Therapist
  • San Antonio, TX
  • NPI 1164421376
  NPD tax ID
• The Orthopedic Store

  • Rehabilitation Clinic/Center
  • Austin, TX
  • NPI 1407855760
  NPD tax ID

Locations

Practitioners 4

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

• Barbara Lauren Burns, MPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1639429772
  Medicare reassignment Care Compare group NPD
• Jeanne Marie Hernandez, P.T.

  • Physical Therapist
  • Bandera, TX
  • NPI 1285619676
  Medicare reassignment Care Compare group NPD
• Karla Renee Thiebaud, PH.D, P.T.

  • Orthopedic Physical Therapist
  • San Antonio, TX
  • NPI 1801895982
  Medicare reassignment Care Compare group NPD
• Genevieve Monroe Welch, DPT

  • Physical Therapist
  • Spring Branch, TX
  • NPI 1760925945
  Medicare reassignment NPD

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1225033145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792590",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782792590",
            "telephone_number": "210-366-2990",
            "fax_number": "210-499-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 ARION PKWY",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162808",
            "telephone_number": "210-366-2990",
            "fax_number": "210-499-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOPEDIC STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "HARIG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "210-366-2990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "643020000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1446635-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS-PT",
            "identifier": "0040GZ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "643020000",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1446627-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Orthopedic Store
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• The Patrician Movement
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• The Pink Boutique
• The Plastic and Cosmetic Center of South Texas

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.