Organization Active NPI

New Braunfels Physical Therapy Inc

Doing business as Comprehensive Chiropractic and Physical Therapy

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1629210760
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1125649 Issued in TX
Legal business name
NEW BRAUNFELS PHYSICAL THERAPY INC
Doing business as
Comprehensive Chiropractic and Physical Therapy
Practice address
930 Proton Rd
Suite 104
San Antonio, TX 78258-4231
Phone
(210) 545-1810
Fax
(210) 545-1811
NPI assigned
Apr 6, 2009
Last updated
Jul 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Charles A Oliver, DCNPI 1386886422
Title
Owner
Phone
(210) 545-1810

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1125649 TX Primary

Addresses

Primary practice location

930 Proton Rd
Suite 104
San Antonio, TX 78258-4231

Mailing address

930 Proton Rd
Suite 104
San Antonio, TX 78258-4231
Phone (210) 545-1810

Other names 1

  • COMPREHENSIVE CHIROPRACTIC AND PHYSICAL THERAPY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050812000704 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890725527 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Chiropractic and Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

263 Loop 337
New Braunfels, TX 78130
Phone (830) 609-9355

263 Loop 337
Ste 700
New Braunfels, TX 78130

930 Proton Rd
Ste 104
San Antonio, TX 78258
Phone (210) 545-1810

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": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1629210760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 PROTON RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584231",
            "telephone_number": "210-545-1810",
            "fax_number": "210-545-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 PROTON RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584231",
            "telephone_number": "210-545-1810",
            "fax_number": "210-545-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRAUNFELS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-545-1810",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1125649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE CHIROPRACTIC AND PHYSICAL THERAPY",
            "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 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.