Practiva Health LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1072643 Issued in TX

Legal business name

PRACTIVA HEALTH LLC

Practice address

5282 Medical Dr
Suite 205a
San Antonio, TX 78229-4849

Phone

(210) 949-0070

Fax

(210) 949-0277

NPI assigned

Aug 21, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Pieter Laurus De Smidt, PT

Title

Owner

Phone

(210) 949-0070

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1659528610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29144 OLD FREDERICKSBURG RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780159101",
            "telephone_number": "210-949-0070",
            "fax_number": "210-949-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR",
            "address_2": "SUITE 205A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294849",
            "telephone_number": "210-949-0070",
            "fax_number": "210-949-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTIVA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "DE SMIDT",
        "authorized_official_first_name": "PIETER",
        "authorized_official_middle_name": "LAURUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-949-0070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1072643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Practical Approach Pediatric Dentistry PLLC
• Practical Approach Pediatric Urgent Care PLLC
• Practical Approach Pediatrics PLLC
• Practical Health Management LLC
• Practical Speech, PLLC
• Shalmali Pradhan
• Bessie Prado, RN, GNP
• Catherine Prado, PTA
• Claudia Berenice Prado
• Loren Elaine Prado, LPC, LMHC

• Physical Therapy Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.