Active NPI
Legend Physical Therapy - Blanco Road, LLC
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1346591039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1029296
- Legal business name
- LEGEND PHYSICAL THERAPY - BLANCO ROAD, LLC
- Practice address
- 14855 Blanco Rd Ste 310
San Antonio, TX 78216-7731 - Phone
- (210) 564-0100
- Fax
- (210) 564-0157
- NPI assigned
- Sep 21, 2012
- Last updated
- Sep 21, 2012
- 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
- Martin Tomerlin
- Title
- President
- Phone
- (210) 564-0100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11917 | TX | |
| Physical Therapist | 225100000X | 1029296 | TX | Primary |
Addresses
Primary practice location
14855 Blanco Rd Ste 310
San Antonio, TX 78216-7731
Mailing address
608 Sandau Rd
San Antonio, TX 78216-4131
Phone (210) 564-0100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348185600000",
"number": "1346591039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 SANDAU RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164131",
"telephone_number": "210-564-0100",
"fax_number": "210-564-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14855 BLANCO RD STE 310",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782167731",
"telephone_number": "210-564-0100",
"fax_number": "210-564-0157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGEND PHYSICAL THERAPY - BLANCO ROAD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-21",
"last_updated": "2012-09-21",
"status": "A",
"authorized_official_last_name": "TOMERLIN",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-564-0100"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11917",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1029296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- Gary Laurent Legault, M.D.
- Legend Oaks - Sonterra, LLC (Sonterra Health Center)
- Legend Oaks - South San Antonio, LLC (Legend Oaks Healthcare and Rehabilitation Center - San Antonio)
- Legend Oaks - West San Antonio (Legend Oaks Healthcare and Rehabilitation - West San Antonio)
- Legend Oaks-South San Antonio, LLC (Legend Oaks Healthcare and Rehabilitation Center-San Antonio)
- Legends Pharmacy III Services LLC (Legends Pharmacy III)
- Legent Outpatient Surgery Westover Hills, LLC
- April J Leggett
- Scott Leggoe, D.O.
- Legita Ruffin (gigi larue)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.