Organization Active NPI

Long Ball LTD

Doing business as Palestra Rehabilitation & Sports Training Center

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1467673608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1090199 Issued in TX
Legal business name
LONG BALL LTD
Doing business as
Palestra Rehabilitation & Sports Training Center
Practice address
1779 NE Loop 410
Suite 100
San Antonio, TX 78217-5212
Phone
(210) 829-7979
Fax
(210) 829-7979
NPI assigned
May 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rodney Lynn Crowley, PT
Title
Vice-President
Phone
(210) 805-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1090199 TX Primary

Addresses

Primary practice location

1779 NE Loop 410
Suite 100
San Antonio, TX 78217-5212

Mailing address

1779 NE Loop 410
Suite 100
San Antonio, TX 78217-5212
Phone (210) 829-7979

Other identifiers 1

IdentifierTypeStateIssuer
00U28XOtherTXOTHER INS. GROUP NUMBER

Other names 1

  • Palestra Rehabilitation & Sports Training Center Doing business as

National Provider Directory

National Provider Directory

Locations

1800 NE Loop 410
Ste 100
San Antonio, TX 78217
Phone (210) 247-6335

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467673608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 NE LOOP 410",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175212",
            "telephone_number": "210-829-7979",
            "fax_number": "210-829-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 NE LOOP 410",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175212",
            "telephone_number": "210-829-7979",
            "fax_number": "210-829-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BALL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "210-805-9595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1090199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INS. GROUP NUMBER",
            "identifier": "00U28X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palestra Rehabilitation & Sports Training Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.