Active NPI
St Mary'S Therapy, Inc
- Home Health Agency
- San Antonio, TX
National Provider Identifier
1386903383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ST MARY'S THERAPY, INC
- Practice address
- 4203 Gardendale St
103-C
San Antonio, TX 78229-3174 - Phone
- (210) 710-0588
- NPI assigned
- May 10, 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
- Mr. Edward Pena
- Title
- Ceo
- Phone
- (210) 710-0588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4203 Gardendale St
103-C
San Antonio, TX 78229-3174
Mailing address
4203 Gardendale St
103-C
San Antonio, TX 78229-3174
Phone (210) 710-0588
National Provider Directory
National Provider DirectoryLocations
4203 Gardendale St
#103C
San Antonio, TX 78229
Phone (210) 710-0588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336608000000",
"number": "1386903383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4203 GARDENDALE ST",
"address_2": "103-C",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293174",
"telephone_number": "210-710-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4203 GARDENDALE ST",
"address_2": "103-C",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293174",
"telephone_number": "210-710-0588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST MARY'S THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-10",
"last_updated": "2012-05-10",
"status": "A",
"authorized_official_last_name": "PENA",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "210-710-0588",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"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 May 10, 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.