Individual provider Active NPI

Jodi Thornton, PT, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1730874363
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
16530 Huebner Rd Ste 119
San Antonio, TX 78248-1699
Phone
(210) 479-3334
Fax
(210) 479-3338
NPI assigned
Apr 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

16530 Huebner Rd Ste 119
San Antonio, TX 78248-1699

Mailing address

10415 State Highway 151 Ste 101
San Antonio, TX 78251-4553
Phone (210) 647-1167

Other identifiers 1

IdentifierTypeStateIssuer
1366211OtherTXTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Promotion Physical Therapy, P.C. Physical Therapist CurrentSince Apr 16, 2023 Accepting new patients

Locations

16530 Huebner Rd
Ste 119
San Antonio, TX 78248
Phone (210) 479-3334

10415 State Highway 151
Ste 101
San Antonio, TX 78251
Phone (210) 647-1167

Organizations & group practices 1

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": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1730874363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 STATE HIGHWAY 151 STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514553",
            "telephone_number": "210-647-1167",
            "fax_number": "210-479-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 HUEBNER RD STE 119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481699",
            "telephone_number": "210-479-3334",
            "fax_number": "210-479-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "JODI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "1366211",
            "state": "TX"
        }
    ],
    "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 Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.