NPIMap

Organization Active NPI

Kinematic Concepts Physical Therapy & Sports Rehab, PLLC

Doing business as Momentum Physical Therapy & Sports Rehab, PLLC

  • Physical Therapist
  • Helotes, TX
National Provider Identifier
1285764936
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
647890002 Issued in TX
Legal business name
KINEMATIC CONCEPTS PHYSICAL THERAPY & SPORTS REHAB, PLLC
Doing business as
Momentum Physical Therapy & Sports Rehab, PLLC
Practice address
12952 Bandera Rd
Suite 107
Helotes, TX 78023-4689
Phone
(210) 372-9600
Fax
(210) 372-9923
NPI assigned
Mar 6, 2007
Last updated
Jan 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Mr. Chad Allen Elms, MPT, OCS, FAAOMPTNPI 1972511269
Title
Ceo
Phone
(210) 372-9600

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 647890002 TX Primary
Occupational Therapist 225X00000X 562580001 TX

Addresses

Primary practice location

12952 Bandera Rd
Suite 107
Helotes, TX 78023-4689

Mailing address

12952 Bandera Rd
Suite 107
Helotes, TX 78023-4689
Phone (210) 372-9600

Other identifiers 3

IdentifierTypeStateIssuer
0084HNOtherTXBLUE CROSS BLUE SHIELD
1543670-01MedicaidTX
DA8491OtherTXRAILROAD MEDICARE

Other names 1

  • Momentum Physical Therapy & Sports Rehab, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

12918 Bandera Rd
Helotes, TX 78023
Phone (210) 372-9600

12952 Bandera Rd
Ste 107
Helotes, TX 78023
Phone (210) 372-9600

11219 Potranco Rd
Ste 110
San Antonio, TX 78253
Phone (210) 679-6900

20821 US Highway 281 N
Ste 110
San Antonio, TX 78258
Phone (210) 372-9600

9800 Fredericksburg Rd
#F
San Antonio, TX 78240
Phone (210) 696-8690

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1285764936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD",
            "address_2": "SUITE 107",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234689",
            "telephone_number": "210-372-9600",
            "fax_number": "210-372-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD",
            "address_2": "SUITE 107",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234689",
            "telephone_number": "210-372-9600",
            "fax_number": "210-372-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINEMATIC CONCEPTS PHYSICAL THERAPY & SPORTS REHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "ELMS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-372-9600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT, OCS, FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "647890002",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "562580001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0084HN",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1543670-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA8491",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Physical Therapy & Sports Rehab, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Helotes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.