Organization Active NPI

Texs Physical Therapy a California

  • Physical Therapy Clinic/Center
  • San Luis Obispo, CA
National Provider Identifier
1720213911
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 18625 Issued in CA
Legal business name
TEXS PHYSICAL THERAPY A CALIFORNIA
Practice address
1248 Monterey St
San Luis Obispo, CA 93401-3104
Phone
(805) 541-8005
Fax
(805) 541-8010
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Paul A. Teixeira, P.T.NPI 1124043344
Title
Owner/Physical Therapist
Phone
(805) 541-8005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 18625 CA Primary

Addresses

Primary practice location

1248 Monterey St
San Luis Obispo, CA 93401-3104

Mailing address

1248 Monterey St
San Luis Obispo, CA 93401-3104
Phone (805) 541-8005

Other names 1

  • Body&Balance Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140529001363 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678796265 Receives reassigned benefits from 3 practitioners
Practice locations: San Luis Obispo, CA

National Provider Directory

National Provider Directory

Locations

1248 Monterey St
Sn Luis Obisp, CA 93401
Phone (805) 541-8005

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1720213911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 MONTEREY ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013104",
            "telephone_number": "805-541-8005",
            "fax_number": "805-541-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 MONTEREY ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013104",
            "telephone_number": "805-541-8005",
            "fax_number": "805-541-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXS PHYSICAL THERAPY A CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "TEIXEIRA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "805-541-8005",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 18625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body&Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.