NPIMap

Organization Active NPI

RGV-Nueces Rehabilitation, Inc.

Doing business as Innovative Physical Therapy & Sports Medicine Centers

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1487658050
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
629340000 Issued in TX
Legal business name
RGV-NUECES REHABILITATION, INC.
Doing business as
Innovative Physical Therapy & Sports Medicine Centers
Practice address
102 Palo Alto Rd
Suite 465
San Antonio, TX 78211-3758
Phone
(210) 921-2111
Fax
(210) 921-2444
NPI assigned
Jun 10, 2005
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Mr. Peter John SchanenNPI 1720491442
Title
Owner/Ceo
Phone
(210) 921-2111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 629340000 TX Primary

Addresses

Primary practice location

102 Palo Alto Rd
Suite 465
San Antonio, TX 78211-3758

Mailing address

PO Box 1329
Helotes, TX 78023-1329
Phone (210) 921-2111

Other identifiers 6

IdentifierTypeStateIssuer
10066488OtherTXAMERIGROUP
6400150OtherTXUNITED HEALTHCARE
I070440OtherTXINTERPLAN HEALTH PLAN
7712156OtherTXAETNA
080735601MedicaidTX
0079DLOtherTXBCBS

Other names 1

  • Innovative Physical Therapy & Sports Medicine Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Innovative Physical Therapy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13138 Leopard St
Corpus Christi, TX 78410
Phone (361) 241-2355

102 Palo Alto Rd
Ste 465
San Antonio, TX 78211
Phone (210) 921-2111

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1487658050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780231329",
            "telephone_number": "210-921-2111",
            "fax_number": "210-921-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD",
            "address_2": "SUITE 465",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113758",
            "telephone_number": "210-921-2111",
            "fax_number": "210-921-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV-NUECES REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "SCHANEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "210-921-2111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "629340000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10066488",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6400150",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERPLAN HEALTH PLAN",
            "identifier": "I070440",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7712156",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080735601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0079DL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Physical Therapy & Sports Medicine Centers",
            "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 Apr 30, 2008; 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.