Active NPI
Mollie Fick
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1669580213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1092633
- Practice address
- 9150 Huebner Rd
Ste 275
San Antonio, TX 78240-1558 - Phone
- (210) 561-7000
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 1092633 | TX | Primary |
Addresses
Primary practice location
9150 Huebner Rd
Ste 275
San Antonio, TX 78240-1558
Mailing address
PO Box 692104
San Antonio, TX 78269
Phone (210) 865-3959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1092633 | Other | TX | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5123 N Loop 1604
Suite 100
San Antonio, TX 78249-1353
Phone (210) 598-1268
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alante Physical Therapy and Wellness | Current | Accepting new patients |
Locations
5123 N Loop 1604 W
Ste 100
San Antonio, TX 78249
Phone (210) 598-1268
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- San Antonio, TX
- NPI 1154821551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1669580213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 692104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78269",
"telephone_number": "210-865-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 HUEBNER RD",
"address_2": "STE 275",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401558",
"telephone_number": "210-561-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICK",
"first_name": "MOLLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1092633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "1092633",
"state": "TX"
}
],
"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 4, 2014; 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.