NPIMap

Organization Active NPI

Healthcare Executives

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1508923442
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALTHCARE EXECUTIVES
Practice address
1007 Poteet Jourdanton Fwy Ste 120
San Antonio, TX 78224-1274
Phone
(210) 921-1599
Fax
(210) 921-2088
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mr. Francis Jeffery Pottenger, P.T.NPI 1760549588
Title
President
Phone
(210) 921-1599

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1007 Poteet Jourdanton Fwy Ste 120
San Antonio, TX 78224-1274

Mailing address

1007 Poteet Jourdanton Fwy Ste 120
San Antonio, TX 78224-1274
Phone (210) 921-1599

Other identifiers 1

IdentifierTypeStateIssuer
0098MROtherTXBLUECROSS BLUESHIELD

Other names 1

  • South San Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South San Physical Ther3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1508923442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 POTEET JOURDANTON FWY STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241274",
            "telephone_number": "210-921-1599",
            "fax_number": "210-921-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 POTEET JOURDANTON FWY STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241274",
            "telephone_number": "210-921-1599",
            "fax_number": "210-921-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE EXECUTIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "POTTENGER",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-921-1599",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0098MR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South San Physical Therapy",
            "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 Jan 17, 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.