Active NPI
Wave Healthcare
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
National Provider Identifier
1477748119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WAVE HEALTHCARE
- Practice address
- 121 Interpark Blvd Ste 300
San Antonio, TX 78216-1852 - Phone
- (210) 593-9283
- Fax
- (210) 593-9284
- NPI assigned
- Sep 6, 2007
- 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. Rodney Gray
- Title
- Owner
- Phone
- (210) 593-9283
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Home Health Registered Respiratory Therapist | 2279H0200X | |||
| Neonatal/Pediatric Registered Respiratory Therapist | 2279P3900X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
121 Interpark Blvd Ste 300
San Antonio, TX 78216-1852
Mailing address
121 Interpark Blvd Ste 300
San Antonio, TX 78216-1852
Phone (210) 593-9283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192701401 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
121 Interpark Blvd
Ste 300
San Antonio, TX 78216
Phone (210) 593-9283
4204 Gardendale St
Ste 104
San Antonio, TX 78229
Phone (210) 614-0200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756339200000",
"number": "1477748119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 INTERPARK BLVD STE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782161852",
"telephone_number": "210-593-9283",
"fax_number": "210-593-9284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 INTERPARK BLVD STE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782161852",
"telephone_number": "210-593-9283",
"fax_number": "210-593-9284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAVE HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-06",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-593-9283",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "2279H0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2279P3900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192701401",
"state": "TX"
}
],
"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 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.