Organization Active NPI

Jimenez Physical Therapy, P.L.L.C.

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1629117825
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1083665 Issued in TX
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

Updated by the provider on Nov 20, 2007

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0030LJOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.