Marcus Wayne Trejo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1046449 Issued in TX

Practice address

102 Palo Alto Rd
Suite 465
San Antonio, TX 78211-3758

Phone

(210) 593-0510

Fax

(210) 593-0633

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saspine, LLCGroup PAC ID 6901167014, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Saspine, LLC

  • Orthopaedic Surgery of the Spine Physician
  • San Antonio, TX
  • NPI 1750811287
  Medicare reassignment Care Compare group
• South Texas Nurse Practitioner Services, PLLC

  dba Innovative Primary Care

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1013383801
  NPD
• RGV-Nueces Rehabilitation, Inc.

  dba Innovative Physical Therapy & Sports Medicine Centers

  • Physical Therapist
  • San Antonio, TX
  • NPI 1487658050
  NPD (past)
• Vigor and Vitality, LLC

  dba AzulCare

  • Physical Medicine & Rehabilitation Physician
  • San Marcos, TX
  • NPI 1053317529
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1316075922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 FARMSVILLE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451942",
            "telephone_number": "210-593-0510",
            "fax_number": "210-593-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD",
            "address_2": "SUITE 465",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113758",
            "telephone_number": "210-593-0510",
            "fax_number": "210-593-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJO",
        "first_name": "MARCUS",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1046449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8T8140",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161969402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cutberto Trejo
• Guillermo R Trejo, M.A. MFT
• Jonathan Trejo, M.D., M.P.H.
• Leslie Trejo, COTA
• Lydia Ann Trejo, NP
• Mariana Trejo
• Mirka Trejo, MD
• Rosemary Trejo
• Ruby Trejo
• Sandra R Trejo, LCDC

• 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 2, 2008; 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.