NPIMap

Organization Active NPI

Alta Vista Healthcare Center

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1366588444
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1038107 Issued in TX
Legal business name
ALTA VISTA HEALTHCARE CENTER
Practice address
1123 N Main Ave
Suite 100
San Antonio, TX 78212-4740
Phone
(210) 822-6323
Fax
(210) 822-6356
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Phil Bohart
Title
Coowner
Phone
(210) 822-6323

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 15980 TX
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1038107 TX Primary

Addresses

Primary practice location

1123 N Main Ave
Suite 100
San Antonio, TX 78212-4740

Mailing address

PO Box 600324
Dallas, TX 75360-0324
Phone (210) 822-6323

National Provider Directory

National Provider Directory
Tax ID family
Alta Vista Healthcare Center2 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.

Locations

1123 N Main Ave
Ste 100
San Antonio, TX 78212
Phone (210) 822-6323

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1366588444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600324",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753600324",
            "telephone_number": "210-822-6323",
            "fax_number": "210-822-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N MAIN AVE",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124740",
            "telephone_number": "210-822-6323",
            "fax_number": "210-822-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA VISTA HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BOHART",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "210-822-6323"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15980",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1038107",
            "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 Sep 11, 2025; 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.