Active NPI
Prosports Rehab
- Rehabilitation Clinic/Center
- San Antonio, TX
National Provider Identifier
1316330707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 2027662
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- San Antonio, TX
- NPI 1548468317
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.