Active NPI
Physical Therapy Unlimited, P.C.
- Physical Therapist
- Canyon Lake, TX
National Provider Identifier
1679604078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 603080000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0876609-01 | Medicaid | TX | |
| 603080000 | Other | TX | FACILITY STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
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
- Anthony A.M. Pearson, MA, MED, LPC, NCC
- Lorena L Peaslee, NCC, LPC
- Pelvic Harmony Physical Therapy LLC
- Reanna Nicole Pena, LPC
- David Morgan Peterson, PA-C
- Jo Bren Piranio, D.D.S.
- Elizabeth Louise Pohlmann, DDS
- Anne Marie Reynolds, LCSW
- Riverside Healthcare Partners Inc. (Senior Helpers Texas Hill Country)
- Robbie Schaack DDS
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.