Organization Active NPI

Prosports Rehab

  • Rehabilitation Clinic/Center
  • San Antonio, TX
National Provider Identifier
1316330707
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
2027662 Issued in TX
Legal business name
PROSPORTS REHAB
Practice address
1111 SE Military Dr
San Antonio, TX 78214-2801
Phone
(210) 924-4475
Fax
(210) 924-9251
NPI assigned
Mar 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Mr. Larry Wood, PT
Title
Physical Therapist
Phone
(210) 924-4475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 2027662 TX Primary

Addresses

Primary practice location

1111 SE Military Dr
San Antonio, TX 78214-2801

Mailing address

1111 SE Military Dr
San Antonio, TX 78214-2801
Phone (210) 924-4475

National Provider Directory

National Provider Directory
Tax ID family
Pro Sports Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1316330707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SE MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142801",
            "telephone_number": "210-924-4475",
            "fax_number": "210-924-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SE MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142801",
            "telephone_number": "210-924-4475",
            "fax_number": "210-924-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "210-924-4475",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "2027662",
            "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 10, 2015; 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.