Abilicare Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

669140001 Issued in TX

Legal business name

ABILICARE THERAPY, PLLC

Practice address

1201 N Raul Longoria Rd
Suite P
San Juan, TX 78589-3727

Phone

(210) 520-1723

Fax

(210) 520-1724

NPI assigned

Aug 23, 2011

Last updated

Aug 23, 2011By 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

Edward C Halstead Jr.

Title

VP, Operations

Phone

(210) 520-1723

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1548540461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681271",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782681271",
            "telephone_number": "210-520-1723",
            "fax_number": "210-520-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N RAUL LONGORIA RD",
            "address_2": "SUITE P",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893727",
            "telephone_number": "210-520-1723",
            "fax_number": "210-520-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILICARE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "HALSTEAD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP, OPERATIONS",
        "authorized_official_telephone_number": "210-520-1723",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "669140001",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "562050001",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in San Juan, TX
• Providers in San Juan, 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 23, 2011; 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.