Individual provider Active NPI

Borna E Habibi, PT, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1326696311
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1294378 Issued in TX
Practice address
5441 Babcock Rd Ste 103
San Antonio, TX 78240-3993
Phone
(210) 253-3888
Fax
(210) 253-3889
NPI assigned
Sep 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1294378 TX Primary
Physical Therapist 225100000X CP000664T AZ

Addresses

Primary practice location

5441 Babcock Rd Ste 103
San Antonio, TX 78240-3993

Mailing address

4511 Estella CT
League City, TX 77573-4695

Other practice location 1

7601 N Oracle Rd Ste 101
Oro Valley, AZ 85704-6310
Phone (520) 293-5551

Other practice location 2

6206 E Pima St Ste 3
Tucson, AZ 85712-7001
Phone (520) 733-6227

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HabDPT17@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP000664TAZMDPhysical Therapist
1294378TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Therapy Solutions, LLC Physical Therapist CurrentSince Sep 20, 2022 Accepting new patients
Fox Rehabilitation Services TX LLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Senior Therapy Solutions, LLC Physical Therapist CurrentSince Sep 20, 2022 Accepting new patients

Locations

4101 W Arkansas Ln
Arlington, TX 76016
Phone (817) 469-7671

13001 Hillcrest Rd
Dallas, TX 75240
Phone (972) 385-5267

6327 Cypresswood Dr
Spring, TX 77379
Phone (281) 374-1750

5901 Crosslake Pkwy
Ste B
Waco, TX 76712
Phone (254) 300-6964

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1326696311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 ESTELLA CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 BABCOCK RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403993",
            "telephone_number": "210-253-3888",
            "fax_number": "210-253-3889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7601 N Oracle Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857046310",
            "country_code": "US",
            "telephone_number": "520-293-5551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6206 E Pima St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857127001",
            "country_code": "US",
            "telephone_number": "520-733-6227",
            "fax_number": "520-733-7328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABIBI",
        "first_name": "BORNA",
        "middle_name": "E",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1294378",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP000664T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HabDPT17@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mail address",
            "address_1": "7601 N Oracle Rd Ste 101",
            "city": "Oro Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857046310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 7, 2022; 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.