Individual provider Active NPI

Grant M Kendall, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1548656341
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1340142 Issued in TX
Practice address
9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598
Phone
(210) 614-6432
Fax
(210) 615-7743
NPI assigned
Apr 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9248990-2401 UT
Physical Therapist 225100000X 1340142 TX Primary

Addresses

Primary practice location

9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598

Mailing address

18626 Hardy Oak Blvd Ste 300
San Antonio, TX 78258-4228
Phone (210) 495-9047

Other practice location 1

18626 Hardy Oak Blvd Ste 200
San Antonio, TX 78258-4219
Phone (210) 495-9047

Other practice location 2

175 N 400 E
Orem, UT 84097-4867
Phone (801) 318-8297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210422002894 TX Practitioner - Physical Therapist in Private Practice 7911315346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

6704 Randolph Blvd
Live Oak, TX 78233-4222
Phone (210) 477-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9248990-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Feb 6, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 6, 2023 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

6704 Randolph Blvd
Live Oak, TX 78233
Phone (210) 656-9506

8715 Village Dr
Ste 120
San Antonio, TX 78217
Phone 2104775151 ext. 108

18626 Hardy Oak Blvd
Ste 200
San Antonio, TX 78258
Phone (210) 293-2941

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

18626 Hardy Oak Blvd
Ste 300
San Antonio, TX 78258
Phone (210) 293-2922

Interoperability endpoints

  • Direct secure messaging: grant.kendall.1@1438.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1548656341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK BLVD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584228",
            "telephone_number": "210-495-9047",
            "fax_number": "210-293-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 290",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401598",
            "telephone_number": "210-614-6432",
            "fax_number": "210-615-7743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18626 Hardy Oak Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584219",
            "country_code": "US",
            "telephone_number": "210-495-9047",
            "fax_number": "210-474-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 N 400 E",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840974867",
            "country_code": "US",
            "telephone_number": "801-318-8297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "GRANT",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "9248990-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1340142",
            "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 Apr 19, 2021; 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.