Individual provider Active NPI

Andrew Koenigs, PT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1629636907
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3124001 Issued in TX
Practice address
11219 Potranco Rd Ste a-110
San Antonio, TX 78253-5848
Phone
(210) 679-6900
Fax
(210) 679-6904
NPI assigned
Jun 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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 3124001 TX Primary

Addresses

Primary practice location

11219 Potranco Rd Ste a-110
San Antonio, TX 78253-5848

Mailing address

11219 Potranco Rd Ste a-110
San Antonio, TX 78253-5848
Phone (210) 679-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190830000825 TX Practitioner - Physical Therapist in Private Practice 3870821754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11219 Potranco Rd
Suite 110
San Antonio, TX 78253-5849
Phone (210) 679-6900

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
3124001TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Aug 2, 2019 Accepting new patients
Momentum Physical & Sports Rehabilitation Limited Partnership Physical Therapist CurrentSince Aug 2, 2019 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

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

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

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

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1629636907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11219 POTRANCO RD STE A-110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535848",
            "telephone_number": "210-679-6900",
            "fax_number": "210-679-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11219 POTRANCO RD STE A-110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535848",
            "telephone_number": "210-679-6900",
            "fax_number": "210-679-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIGS",
        "first_name": "ANDREW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3124001",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 3, 2019; 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.