Essential Physiotherapy and Wellness Clinic, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ESSENTIAL PHYSIOTHERAPY AND WELLNESS CLINIC, LLC

Practice address

423 Treeline Park Ste 201
San Antonio, TX 78209-2078

Phone

(210) 602-2355

NPI assigned

Jul 10, 2022

Organization subpart

No

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

Authorized official

Name

Chasity Jackson-Ellis, DPTNPI 1396479069

Title

Owner/DPT

Phone

(210) 602-2355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Chasity Renea Jackson-Ellis, DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1396479069
  Medicare reassignment NPD Authorized official
• Cierra Bush, DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1972071744
  Medicare reassignment NPD

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657411200000",
    "number": "1285368951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 TREELINE PARK STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092078",
            "telephone_number": "210-602-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 TREELINE PARK STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092078",
            "telephone_number": "210-602-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL PHYSIOTHERAPY AND WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON-ELLIS",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "OWNER/DPT",
        "authorized_official_telephone_number": "210-602-2355",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca E Essel
• Essence Acupuncture and Wellness
• Essential Blood Plus, LLC
• Essential DME
• Essential Med Clinic
• Joshua D Essery, PSYD
• Alissa Corinne Essex, RBT
• Kendal Essex, PHARM. D.
• Maria Veronica Essex, PHARM. D.
• Essy Quality Healthcare Inc

• 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 Jul 10, 2022; 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.