Active NPI
Jimenez Physical Therapy, P.L.L.C.
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1629117825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1083665
- Legal business name
- JIMENEZ PHYSICAL THERAPY, P.L.L.C.
- Practice address
- 6794 Ingram Rd
San Antonio, TX 78238-4101 - Phone
- (210) 767-1722
- Fax
- (210) 767-0795
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Cruz Jimenez III, PT
- Title
- President
- Phone
- (210) 767-1722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1083665 | TX | Primary |
Addresses
Primary practice location
6794 Ingram Rd
San Antonio, TX 78238-4101
Mailing address
6794 Ingram Rd
San Antonio, TX 78238-4101
Phone (210) 767-1722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030LJ | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
6794 Ingram Rd
San Antonio, TX 78238
Phone (210) 767-1722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195516800000",
"number": "1629117825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6794 INGRAM RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782384101",
"telephone_number": "210-767-1722",
"fax_number": "210-767-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6794 INGRAM RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782384101",
"telephone_number": "210-767-1722",
"fax_number": "210-767-0795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIMENEZ PHYSICAL THERAPY, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2007-11-20",
"status": "A",
"authorized_official_last_name": "JIMENEZ",
"authorized_official_first_name": "CRUZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-767-1722",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1083665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0030LJ",
"state": "TX"
}
],
"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 Nov 20, 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.