NPIMap

Organization Active NPI

Autistic Treatment Center, Inc.

  • Rehabilitation Clinic/Center
  • San Antonio, TX
National Provider Identifier
1740207422
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
AUTISTIC TREATMENT CENTER, INC.
Doing business as
Autism Treatment Center Rehabilitation Agency
Practice address
15911 Nacogdoches Rd
San Antonio, TX 78247-1107
Phone
(210) 599-7733
Fax
(210) 599-3105
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Anna Penn Hundley
Title
President/Ceo
Phone
(972) 644-2076

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

15911 Nacogdoches Rd
San Antonio, TX 78247-1107

Mailing address

10503 Metric Dr
Dallas, TX 75243-5514
Phone (972) 644-2076

Other identifiers 1

IdentifierTypeStateIssuer
181437801MedicaidTX

Other names 1

  • Autism Treatment Center Rehabilitation Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060510000385 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4880617802 Practice locations: San Antonio, TX

Outpatient physical therapy / speech pathology certification: CCN 676629

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
AUTISM TREATMENT CENTER REHABILITATION AGENCY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Aug 2, 2006
Last certification
Sep 6, 2016
Ownership / control type
Voluntary Non-Profit Other Than Church
Facility address
15911 Nacogdoches Rd
San Antonio, TX 78247

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Autism Treatment Center Rehabilitation Agency11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1740207422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 METRIC DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435514",
            "telephone_number": "972-644-2076",
            "fax_number": "972-644-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15911 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471107",
            "telephone_number": "210-599-7733",
            "fax_number": "210-599-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISTIC TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "HUNDLEY",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "PENN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "972-644-2076"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181437801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Treatment Center Rehabilitation Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.