Organization Active NPI

Primetrack Health LLC

Doing business as PrimeTrack Wellness and Rehab

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1578081881
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRIMETRACK HEALTH LLC
Doing business as
PrimeTrack Wellness and Rehab
Practice address
14855 Blanco Rd Ste 310
San Antonio, TX 78216-7731
Phone
(210) 281-4188
Fax
(210) 281-4195
NPI assigned
Sep 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Chun Tham, DCNPI 1740264142
Title
Owner
Phone
(210) 281-4188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

14855 Blanco Rd Ste 310
San Antonio, TX 78216-7731

Mailing address

14855 Blanco Rd Ste 310
San Antonio, TX 78216-7731
Phone (210) 281-4188

Other names 1

  • PrimeTrack Wellness and Rehab Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578081881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD STE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167731",
            "telephone_number": "210-281-4188",
            "fax_number": "210-281-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD STE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167731",
            "telephone_number": "210-281-4188",
            "fax_number": "210-281-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMETRACK HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THAM",
        "authorized_official_first_name": "CHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-281-4188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimeTrack Wellness and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.