Active NPI
Christina M Pulliam
- Physical Therapist
- Fort Sam Houston, TX
National Provider Identifier
1730126541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1145431
- Practice address
- 3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501 - Phone
- (210) 916-2460
- Fax
- (210) 916-5102
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1145431 | TX | Primary |
Addresses
Primary practice location
3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501
Mailing address
3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501
Phone (210) 916-2460
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1458006 | Other | TX | CIGNA |
| 8T1572 | Other | TX | BCBS |
| 7453544 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1145431 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Regional Medical Center | Past | Accepting new patients | |
| The San Antonio Orthopaedic Group, LLP | Past | Accepting new patients | |
| The San Antonio Orthopaedic Group, LLP | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1720022494
-
- Orthopedic Physical Therapist
- San Antonio, TX
- NPI 1770042152
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1730126541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344501",
"telephone_number": "210-916-2460",
"fax_number": "210-916-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344501",
"telephone_number": "210-916-2460",
"fax_number": "210-916-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLIAM",
"first_name": "CHRISTINA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1145431",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1458006",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8T1572",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7453544",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.