Individual provider Active NPI

Jessica F Williams, PT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1629386271
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1198878 Issued in TX
Practice address
10555 Culebra Rd
Ste 013
San Antonio, TX 78251-3666
Phone
(210) 888-6042
Fax
(210) 888-6045
NPI assigned
Sep 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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 1198878 TX Primary

Addresses

Primary practice location

10555 Culebra Rd
Ste 013
San Antonio, TX 78251-3666

Mailing address

12952 Bandera Rd
Suite 107
Helotes, TX 78023-4689
Phone (210) 372-9600

Other names 1

  • Jessica F Nelson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110304000584 TX Practitioner - Physical Therapist in Private Practice 3375725815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1412 Sidney Baker St
Kerrville, TX 78028-2725
Phone (830) 315-8420

408 US Hwy 90 W 200
Momentum Castroville
Castroville, TX 78009-4547
Phone (830) 346-5454

5441 Babcock Rd
Suite 103
San Antonio, TX 78240-3993
Phone (210) 253-3888

7909 Pat Booker Rd
Live Oak, TX 78233-2602
Phone (210) 653-3889

917 10TH St
Suite 111
Floresville, TX 78114-1874
Phone (800) 939-8800

Merit-based Incentive Payment System (MIPS)

Final score
63.18 of 100Reported as group
Quality
59.83
Improvement activities
20
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1198878TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Feb 1, 2015 Accepting new patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Feb 1, 2015 Accepting new patients
Kinematic Concepts Physical Therapy & Sports Rehab, PLLC Physical Therapist Past Accepting new patients

Locations

124 E Bandera Rd
Ste 402
Boerne, TX 78006
Phone (830) 428-2950

2004 10th St
Floresville, TX 78114
Phone (830) 393-8800

12952 Bandera Rd
Ste 107
Helotes, TX 78023
Phone (210) 372-9600

7909 Pat Booker Rd
Live Oak, TX 78233
Phone (210) 590-7412

10555 Culebra Rd
Ste 103
San Antonio, TX 78251
Phone (210) 888-6042

7003 S New Braunfels Ave
Ste 114
San Antonio, TX 78223
Phone (210) 829-0359

11219 Potranco Rd
Ste 110
San Antonio, TX 78253
Phone (210) 679-6900

8627 Cinnamon Creek Dr
Ste 402
San Antonio, TX 78240
Phone (210) 372-9600

21727 W Interstate 10
Ste 110
San Antonio, TX 78257
Phone (210) 314-1402

5441 Babcock Rd
Ste 103
San Antonio, TX 78240
Phone (210) 253-3888

Organizations & group practices 3

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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1629386271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD",
            "address_2": "SUITE 107",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234689",
            "telephone_number": "210-372-9600",
            "fax_number": "210-372-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 CULEBRA RD",
            "address_2": "STE 013",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513666",
            "telephone_number": "210-888-6042",
            "fax_number": "210-888-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1198878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "NELSON",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 8, 2012; 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.