Organization Active NPI

Trinity Clinical Assocates Pain Management

  • Massage Therapist
  • San Antonio, TX
National Provider Identifier
1639267164
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
028861 Issued in TX
Legal business name
TRINITY CLINICAL ASSOCATES PAIN MANAGEMENT
Practice address
4204 Gardendale St.
Ste 203
San Antonio, TX 78229-3139
Phone
(210) 614-8452
Fax
(210) 614-8561
NPI assigned
Oct 10, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. John G. Dimler, L.P.C.NPI 1053346346
Title
Director
Phone
(210) 614-8452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 14338 TX
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00174 TX
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 028861 TX Primary

Addresses

Primary practice location

4204 Gardendale St.
Ste 203
San Antonio, TX 78229-3139

Mailing address

4204 Gardendale St.
Ste 203
San Antonio, TX 78229-3139
Phone (210) 614-8452

National Provider Directory

National Provider Directory

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639267164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE ST.",
            "address_2": "STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293139",
            "telephone_number": "210-614-8452",
            "fax_number": "210-614-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE ST.",
            "address_2": "STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293139",
            "telephone_number": "210-614-8452",
            "fax_number": "210-614-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CLINICAL ASSOCATES PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DIMLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-614-8452",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14338",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00174",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "028861",
            "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 Sep 11, 2025; 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.