Individual provider Active NPI

Jose A Faz Jr.

  • Physical Therapy Assistant
  • San Antonio, TX
National Provider Identifier
1487137162
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2052292 Issued in TX
Practice address
9903 Hunters Pond
San Antonio, TX 78224-3069
Phone
(210) 477-2200
NPI assigned
Sep 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2052292 TX Primary

Addresses

Primary practice location

9903 Hunters Pond
San Antonio, TX 78224-3069

Mailing address

4115 Ogelthorpe Oak
San Antonio, TX 78223-3884
Phone (210) 838-7710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2052292TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1487137162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 OGELTHORPE OAK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233884",
            "telephone_number": "210-838-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9903 HUNTERS POND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782243069",
            "telephone_number": "210-477-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2052292",
            "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 10, 2018; 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.