Active NPI
Matthew David Moraga Tercero, PT, DPT
- Physical Therapist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1335086
- Practice address
- 2322 San Pedro Ave
San Antonio, TX 78212-3237 - Phone
- (210) 314-6725
- Fax
- (210) 957-8585
- NPI assigned
- Aug 21, 2020
- Last updated
- Aug 21, 2020
- 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 Therapist | 225100000X | 1335086 | TX | Primary |
Addresses
Primary practice location
2322 San Pedro Ave
San Antonio, TX 78212-3237
Mailing address
2322 San Pedro Ave
San Antonio, TX 78212-3237
Phone (210) 314-6725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Texas Medical School at San Antonio, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19138 US Hwy 281 N
San Antonio, TX 78258-4988
Phone (210) 804-5400
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.86 of 100
- Quality
- 65.93
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 71.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1335086 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The San Antonio Orthopaedic Group, LLP | Current | Accepting new patients | |
| The San Antonio Orthopaedic Group, LLP | Current | Accepting new patients | |
| Trinity Regional Medical Center | Past | Accepting new patients | |
| The San Antonio Orthopaedic Group, LLP | Physical Therapist | Past | Accepting new patients |
Locations
1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741
19138 US Highway 281 N
San Antonio, TX 78258
Phone (210) 253-2660
19138 US Highway 281 N
Ste 200
San Antonio, TX 78258
Phone (210) 489-7270
400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416
Interoperability endpoints
- matthew.moraga.tercero.1@94.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Orthopedic Physical Therapist
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- NPI 1770042152
-
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1457429375
Physical Therapist
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- Fort Dodge, IA
- NPI 1073594156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1437761350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 SAN PEDRO AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782123237",
"telephone_number": "210-314-6725",
"fax_number": "210-957-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 SAN PEDRO AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782123237",
"telephone_number": "210-314-6725",
"fax_number": "210-957-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAGA TERCERO",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-21",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1335086",
"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 Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.