Organization Active NPI

Wave Healthcare

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1477748119
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Aug 28, 2025

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Home Health Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279H0200X
Neonatal/Pediatric Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
192701401MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.