David Clinton Michna, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

1061299 Issued in TX

Practice address

7220 Louis Pasteur Dr Ste 160
4319 Medical Dr. 131-113
San Antonio, TX 78229-4535

Phone

(210) 614-3003

Fax

(210) 692-7898

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lisara Rehab Center

  • Specialist
  • San Antonio, TX
  • NPI 1881602977
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1558379727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 LOUIS PASTEUR DR",
            "address_2": "SUITE 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294537",
            "telephone_number": "210-614-3003",
            "fax_number": "210-692-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 LOUIS PASTEUR DR STE 160",
            "address_2": "4319 MEDICAL DR. 131-113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294535",
            "telephone_number": "210-614-3003",
            "fax_number": "210-692-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHNA",
        "first_name": "DAVID",
        "middle_name": "CLINTON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1061299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  PROVIDER NUMBER",
            "identifier": "8T1981",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L. Cantu, MD, P.a.
• Michelle P. Moran, PH.D.,P.a.
• Tiffany Michels
• Soad Michelsen, M.D.
• Erik Eugene Michener, DC
• Michon Tucker
• Kathleen Miciano
• Michele Annette Mick, PH.D.
• Krista Mickelsen, LMSW
• Rachel Ann Mickelsen, LPC, LCDC

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.