Herbert Pena, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2097442 Issued in TX

Practice address

5511 Pecan SPGS Apt 7105
San Antonio, TX 78249-5306

Phone

(956) 319-4348

NPI assigned

Apr 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1356728240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 PECAN SPGS APT 7105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782495306",
            "telephone_number": "956-319-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 PECAN SPGS APT 7105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782495306",
            "telephone_number": "956-319-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "HERBERT",
        "name_prefix": "Mr.",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2097442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Pena
• Edith Pena, DDS
• Fernando J Pena, MD
• Gabriele H Pena, RN
• Gracie Marie Pena, LVN
• Heriberto Pena Jr., LCSW
• Humberto Pena Jr.
• Jeanette N Pena, LMSW
• Jesse Martin Pena
• Jimmy L Pena, APRN, CPNP

• Physical Therapy Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.