Pro Sports Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRO SPORTS REHAB LLC

Doing business as

Pro Sports Rehab Physical Therapy

Practice address

13722 Embassy Row
San Antonio, TX 78216-2000

Phone

(210) 349-5577

Fax

(210) 349-5666

NPI assigned

Jul 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bernard T Swift, M.DNPI 1497722235

Title

Member

Phone

(210) 349-5577

Specialties & licenses 1

Addresses

Other names 1

• Pro Sports Rehab Physical Therapy Doing business as

Tax ID family

Pro Sports Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Prosports Rehab

  • Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1316330707
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bernard T Swift Jr., DO

  • Occupational Medicine Physician
  • San Antonio, TX
  • NPI 1497722235
  Authorized official Same address or phone

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548468317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13722 EMBASSY ROW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162000",
            "telephone_number": "210-349-5577",
            "fax_number": "210-349-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13722 EMBASSY ROW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162000",
            "telephone_number": "210-349-5577",
            "fax_number": "210-349-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "210-349-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Sports Rehab Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Proactive ABA Services LLC

• 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 Aug 22, 2020; 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.