Organization Active NPI

Physical Therapy Unlimited, P.C.

  • Physical Therapist
  • Canyon Lake, TX
National Provider Identifier
1679604078
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
603080000 Issued in TX
Legal business name
PHYSICAL THERAPY UNLIMITED, P.C.
Practice address
1356 FM 2673
Canyon Lake, TX 78133-4510
Phone
(830) 907-2145
Fax
(830) 964-2373
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Mr. Robert Rodriguez, LPT
Title
Presideny Owner Physical Therapist
Phone
(830) 907-2145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 603080000 TX Primary

Addresses

Primary practice location

1356 FM 2673
Canyon Lake, TX 78133-4510

Mailing address

1356 FM 2673
Canyon Lake, TX 78133-4510
Phone (830) 907-2145

Other identifiers 2

IdentifierTypeStateIssuer
0876609-01MedicaidTX
603080000OtherTXFACILITY STATE LICENSE

National Provider Directory

National Provider Directory

Locations

1175 FM 2673
Ste 15
Canyon Lake, TX 78133
Phone (830) 964-4054

894 Loop 337
Ste C
New Braunfels, TX 78130
Phone (830) 609-2000

523 E Court St
Seguin, TX 78155

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1679604078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 FM 2673",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334510",
            "telephone_number": "830-907-2145",
            "fax_number": "830-964-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 FM 2673",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334510",
            "telephone_number": "830-907-2145",
            "fax_number": "830-964-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY UNLIMITED, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENY OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "830-907-2145",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "603080000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0876609-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY STATE LICENSE",
            "identifier": "603080000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Lake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.