Active NPI
Pedro S Samaniego, PTA
- Physical Therapy Assistant
- San Antonio, TX
National Provider Identifier
1376749275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2034320
- Practice address
- 15600 San Pedro Ave Ste 307
San Antonio, TX 78232-3739 - Phone
- (210) 494-2343
- Fax
- (210) 545-1657
- NPI assigned
- Jun 26, 2007
- Last updated
- Oct 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2034320 | TX | Primary |
Addresses
Primary practice location
15600 San Pedro Ave Ste 307
San Antonio, TX 78232-3739
Mailing address
15600 San Pedro Ave Ste 307
San Antonio, TX 78232-3739
Phone (210) 494-2343
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2034320 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1376749275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15600 SAN PEDRO AVE STE 307",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323739",
"telephone_number": "210-494-2343",
"fax_number": "210-545-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 SAN PEDRO AVE STE 307",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323739",
"telephone_number": "210-494-2343",
"fax_number": "210-545-1657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMANIEGO",
"first_name": "PEDRO",
"middle_name": "S",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2034320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Sam's East, Inc. (Sam's Vision Center 30-4939)
- Ernest Sama, PHARMD
- Emilie Lynne Samandi, PA
- Hector Xavier Samaniego Jr., M.D.
- Kimberly Samaniego, LPC ASSOCIATE
- Annalisa Cristina Samano, MSN, APRN, AGACNP
- Italo Augusto Samano, PSY.D.
- Samantha Harris Consulting LLC
- Samaritans of Texas PLLC
- Brittany Nicole Samarripa, CPHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.