Organization Active NPI

RWW Outpatient Rehab Services, LLC

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1447871702
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RWW OUTPATIENT REHAB SERVICES, LLC
Practice address
814 Arion Pkwy Ste 406
San Antonio, TX 78216-2837
Phone
(210) 495-0750
NPI assigned
Apr 28, 2020
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Heather Wilson
Title
National Credentialing Manager
Phone
(502) 272-3463

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Physical Therapist 225100000X Primary

Addresses

Primary practice location

814 Arion Pkwy Ste 406
San Antonio, TX 78216-2837

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-5186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200602001024 TX Part B Supplier - Clinic/Group Practice 8729333521 Receives reassigned benefits from 19 practitioners
Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
RWW Outpatient Rehab Services LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

814 Arion Pkwy
Bldg 4
San Antonio, TX 78216
Phone (615) 994-1792

814 Arion Pkwy
Ste 406
San Antonio, TX 78216
Phone (210) 495-0750

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1447871702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 ARION PKWY STE 406",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162837",
            "telephone_number": "210-495-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWW OUTPATIENT REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "NATIONAL CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-272-3463"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "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 Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.