Individual provider Active NPI

Courtney Ann Witte, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1720961048
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1407000 Issued in TX
Practice address
120 E Basse Rd Ste 101
San Antonio, TX 78209-8356
Phone
(512) 335-9300
NPI assigned
Jul 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1407000 TX Primary

Addresses

Primary practice location

120 E Basse Rd Ste 101
San Antonio, TX 78209-8356

Mailing address

19702 Bella Loma Apt 3009
San Antonio, TX 78256-0003
Phone (830) 299-9899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912004286 TX Practitioner - Physical Therapist in Private Practice 3779086855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 clinicians

Practice addresses (Care Compare)

120 E Basse Rd
Suite 101
San Antonio, TX 78209-8356
Phone (213) 898-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Physical Therapy FL PLLC Single Specialty CurrentSince Aug 29, 2025 Accepting new patients
Sullivan Physical Therapy LLC Single Specialty CurrentSince Mar 16, 2023 Accepting new patients

Locations

12411 Hymeadow Dr
Ste 3B
Austin, TX 78750
Phone (512) 250-8497

2712 Bee Caves Rd
Ste 122A
Austin, TX 78746
Phone (737) 234-9618

4950 Terminal St
Ste 100
Bellaire, TX 77401
Phone (832) 307-0894

120 E Basse Rd
Ste 101
San Antonio, TX 78209

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1753488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1720961048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19702 BELLA LOMA APT 3009",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782560003",
            "telephone_number": "830-299-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E BASSE RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782098356",
            "telephone_number": "512-335-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-26",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407000",
            "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 26, 2025; 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.

Verify at the official NPI Registry.