Active NPI
Ronald Rendessy, PT, MBA
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1487876397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1142651
- Practice address
- 1904 Grandstand Dr
400
San Antonio, TX 78238-4508 - Phone
- (210) 521-7054
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1142651 | TX | Primary |
Addresses
Primary practice location
1904 Grandstand Dr
400
San Antonio, TX 78238-4508
Mailing address
840 Cliff Dr Apt 6
Portland, TX 78374-3027
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1142651 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1487876397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 CLIFF DR APT 6",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783743027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 GRANDSTAND DR",
"address_2": "400",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782384508",
"telephone_number": "210-521-7054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDESSY",
"first_name": "RONALD",
"name_prefix": "Mr.",
"credential": "PT, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1142651",
"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 Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.