Individual provider Active NPI

Stephanie Lee Recio, PTA

  • Physical Therapy Assistant
  • San Antonio, TX
National Provider Identifier
1285138271
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2065093 Issued in TX
Practice address
7330 San Pedro Ave Ste 800
San Antonio, TX 78216-6268
Phone
(210) 733-0524
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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 2065093 TX Primary

Addresses

Primary practice location

7330 San Pedro Ave Ste 800
San Antonio, TX 78216-6268

Mailing address

21730 Cliff VW
San Antonio, TX 78259-2042
Phone (210) 618-1432

Other practice location 1

21730 Cliff Vw
San Antonio, TX 78259-2042
Phone (210) 618-1432

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
2065093TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Management & Business Associates, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1285138271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21730 CLIFF VW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592042",
            "telephone_number": "210-618-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO AVE STE 800",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166268",
            "telephone_number": "210-733-0524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21730 Cliff Vw",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782592042",
            "country_code": "US",
            "telephone_number": "210-618-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECIO",
        "first_name": "STEPHANIE",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2065093",
            "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 22, 2018; 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.