Individual provider Active NPI

Henry I Bussey III, PT DPT MS OCS

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1295753192
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
19260 Stone Oak Pkwy
Suite 107
San Antonio, TX 78258
Phone
(210) 545-9355
Fax
(210) 545-9369
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

19260 Stone Oak Pkwy
Suite 107
San Antonio, TX 78258

Mailing address

PO Box 977
San Antonio, TX 78294
Phone (210) 572-6313

Other identifiers 1

IdentifierTypeStateIssuer
84254TOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131015000224 TX Practitioner - Physical Therapist in Private Practice 1759392301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Neuromuscular Rehabilitation InstituteGroup PAC ID 0840201497, 3 clinicians

Practice addresses (Care Compare)

19260 Stone Oak Pkwy
Suite 107
San Antonio, TX 78258-3370
Phone (210) 545-9355

Merit-based Incentive Payment System (MIPS)

Final score
64.76 of 100Reported as individual
Quality
33.33
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neuromuscular Rehabilitation Institute Physical Therapist CurrentSince Jan 25, 2000 Accepting new patients
US Health Facilities Development Past Accepting new patients
US Health Facilities Development Physical Therapist Past Accepting new patients

Locations

540 Oak Centre Dr
Ste 210
San Antonio, TX 78258
Phone (210) 495-4108

19260 Stone Oak Pkwy
Ste 107
San Antonio, TX 78258
Phone (210) 545-9355

Organizations & group practices 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295753192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 977",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78294",
            "telephone_number": "210-572-6313",
            "fax_number": "210-545-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 STONE OAK PKWY",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-545-9355",
            "fax_number": "210-545-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSEY",
        "first_name": "HENRY",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PT DPT MS OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84254T",
            "state": "TX"
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.