Joseph Alan Hibner, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1390095 Issued in TX

Practice address

10300 Heritage St Ste 160
San Antonio, TX 78216-3924

Phone

(210) 750-9004

Fax

(210) 866-0201

NPI assigned

Mar 4, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of the Incarnate Word School of Osteo Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revival Performance Physical TherapyGroup PAC ID 0941606784, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revival Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1184298424

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1528825825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 HERITAGE ST STE 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 HERITAGE ST STE 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163924",
            "telephone_number": "210-750-9004",
            "fax_number": "210-866-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBNER",
        "first_name": "JOSEPH",
        "middle_name": "ALAN",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1390095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HFCH No4, Inc.
• HHP Medical Management Service LLC
• Hi Fashion Boutique
• Alan E Hibberd, M.D.
• Joni Hibberd
• Nadi S Hibri, M.D.
• David S Hickey, DDS
• Rosemary Hickey, MD
• Roxanne Hickey, RDH
• Megan Elena Hickinbotham, RBT

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.