Individual provider Active NPI

Derek Edward Sanchez, LPT

  • Physical Therapist
  • Schertz, TX
National Provider Identifier
1487713707
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1163910 Issued in TX
Practice address
790 Roy Richard Dr Ste E
Schertz, TX 78154-2039
Phone
(210) 659-4333
Fax
(210) 659-0809
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1163910 TX Primary

Addresses

Primary practice location

790 Roy Richard Dr Ste E
Schertz, TX 78154-2039

Mailing address

4721 Green Bluff Dr
Schertz, TX 78154-3043
Phone (210) 269-3627

Other identifiers 1

IdentifierTypeStateIssuer
TXB138300OtherTXMEDICARE INDIVIDUAL PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080401000482 TX Practitioner - Physical Therapist in Private Practice 3274610274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17323 Interstate 35 N
Suite 107
Schertz, TX 78154-1278
Phone (210) 659-4333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All Schertz-Cibolo Physical Therapy Physical Therapist CurrentSince Jul 15, 2011 Accepting new patients
Schertz Physical Therapy PLLC Physical Therapist PastSince Dec 4, 2007 Accepting new patients

Locations

790 Roy Richard Dr
Ste Ef
Schertz, TX 78154
Phone (210) 659-4333

17323 Interstate 35 N
Ste 107
Schertz, TX 78154
Phone (210) 659-4333

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1487713707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 GREEN BLUFF DR",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543043",
            "telephone_number": "210-269-3627",
            "fax_number": "210-659-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 ROY RICHARD DR STE E",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542039",
            "telephone_number": "210-659-4333",
            "fax_number": "210-659-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "DEREK",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1163910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "TXB138300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.