Individual provider Active NPI

Sergio Islas, PT, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1467174599
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1366834 Issued in TX
Practice address
9150 Huebner Rd Ste 275
San Antonio, TX 78240-1661
Phone
(210) 561-7000
NPI assigned
Sep 15, 2022
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1366834 TX Primary

Addresses

Primary practice location

9150 Huebner Rd Ste 275
San Antonio, TX 78240-1661

Mailing address

3413 Ambleside Dr
Austin, TX 78759-3101
Phone (512) 653-0079

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401002518 TX Practitioner - Physical Therapist in Private Practice 2961840616 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1366834TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Texas Limited Partnership CurrentSince Feb 18, 2024 Accepting new patients
Physiotherapy Associates Inc CurrentSince Feb 18, 2024 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Feb 18, 2024 Accepting new patients
Physiotherapy Associates Inc Physical Therapist CurrentSince Feb 18, 2024 Accepting new patients
Select Physical Therapy Texas Limited Partnership PastSince Sep 20, 2022 Accepting new patients

Locations

14700 FM 2100 Rd
Ste 4
Crosby, TX 77532
Phone (281) 328-8346

4899 Highway 6
Ste 212C
Missouri City, TX 77459
Phone (346) 371-2121

5311 N Loop 1604 W
Ste 104
San Antonio, TX 78249
Phone (726) 227-9610

9150 Huebner Rd
Ste 275
San Antonio, TX 78240
Phone (210) 561-7000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1467174599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 AMBLESIDE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593101",
            "telephone_number": "512-653-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 275",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401661",
            "telephone_number": "210-561-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAS",
        "first_name": "SERGIO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1366834",
            "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 15, 2022; 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.