Active NPI
Sa Therapy LLC
- Occupational Medicine Clinic/Center
- San Antonio, TX
National Provider Identifier
1720696263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- SA THERAPY LLC
- Practice address
- 5414 Fredericksburg Rd Ste 240
San Antonio, TX 78229-3641 - Phone
- (832) 444-7073
- NPI assigned
- Jul 21, 2020
- 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
- Bonnie C. Gomez
- Title
- President
- Phone
- (832) 444-7073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | Primary |
Addresses
Primary practice location
5414 Fredericksburg Rd Ste 240
San Antonio, TX 78229-3641
Mailing address
5414 Fredericksburg Rd Ste 240
San Antonio, TX 78229-3641
National Provider Directory
National Provider DirectoryLocations
5414 Fredericksburg Rd
Ste 240
San Antonio, TX 78229
Phone (832) 444-7073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595289600000",
"number": "1720696263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5414 FREDERICKSBURG RD STE 240",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5414 FREDERICKSBURG RD STE 240",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293641",
"telephone_number": "832-444-7073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SA THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-21",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "BONNIE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "832-444-7073"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.