Individual provider Active NPI

Diana Castro Schonhoff, PT

  • Physical Therapist
  • Garden Ridge, TX
National Provider Identifier
1487780763
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1023224 Issued in TX
Practice address
18945 FM 2252 Ste 107
Garden Ridge, TX 78266-2797
Phone
(210) 651-4826
Fax
(210) 651-4862
NPI assigned
Feb 23, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1023224 TX Primary

Addresses

Primary practice location

18945 FM 2252 Ste 107
Garden Ridge, TX 78266-2797

Mailing address

18945 FM 2252 Ste 107
Garden Ridge, TX 78266-2797
Phone (210) 651-4826

Other identifiers 3

IdentifierTypeStateIssuer
0061785OtherTXBLUE LINK
659543OtherTXBCBS
5909619OtherTXAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000681 TX Practitioner - Physical Therapist in Private Practice 3577523869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18945 FM
2252 Suite 107
Garden Ridge, TX 78266-2797
Phone (210) 651-4826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1023224TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Garden Ridge Physical Therapy and Wellness Center, P.C. Physical Therapist CurrentSince May 14, 1998 Accepting new patients

Locations

18945 FM 2252
Ste 107
San Antonio, TX 78266
Phone (210) 651-4826

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487780763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18945 FM 2252 STE 107",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662797",
            "telephone_number": "210-651-4826",
            "fax_number": "210-651-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18945 FM 2252 STE 107",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662797",
            "telephone_number": "210-651-4826",
            "fax_number": "210-651-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHONHOFF",
        "first_name": "DIANA",
        "middle_name": "CASTRO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1023224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "0061785",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "659543",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5909619",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Ridge, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.