Individual provider Active NPI

John Morello, PT, DPT

  • Physical Therapist
  • Bulverde, TX
National Provider Identifier
1588063101
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1235940 Issued in TX
Practice address
20475 Highway 46 W Ste 104
Bulverde, TX 78070-6147
Phone
(830) 980-4565
NPI assigned
Aug 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1235940 TX Primary

Addresses

Primary practice location

20475 Highway 46 W Ste 104
Bulverde, TX 78070-6147

Mailing address

184 Creekside Park Rd
Ste 200
Spring Branch, TX 78070-6128
Phone (830) 980-4565

Other identifiers 1

IdentifierTypeStateIssuer
340741301MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141016002471 TX Practitioner - Physical Therapist in Private Practice 3779704747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physical Therapy Specialists, IncGroup PAC ID 2567422538, 238 clinicians

Practice addresses (Care Compare)

20475 Hwy 46 W
Suite 104
Bulverde, TX 78070-6147
Phone (830) 980-4565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Aug 21, 2014 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Aug 21, 2014 Accepting new patients

Locations

6836 Austin Center Blvd
Ste 180
Austin, TX 78731
Phone (512) 225-1002

4532 West Gate Blvd
Ste 100
Austin, TX 78745
Phone (512) 892-7337

20475 State Highway 46 W
Ste 104
Bulverde, TX 78070
Phone (830) 980-4565

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

17325 Bell North Dr
Ste 2B
Schertz, TX 78154
Phone (662) 315-3571

184 Creekside Park Rd
Ste 200
Spring Branch, TX 78070
Phone (830) 438-7766

Organizations & group practices 2

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1588063101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 CREEKSIDE PARK RD",
            "address_2": "STE 200",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706128",
            "telephone_number": "830-980-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20475 HIGHWAY 46 W STE 104",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "780706147",
            "telephone_number": "830-980-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELLO",
        "first_name": "JOHN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1235940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340741301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bulverde, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.