Garden Ridge Physical Therapy and Wellness Center, P.C.
Organization Active NPI Physical Therapist · Garden Ridge, TX
NPI 1750401485 · NPPES record last updated Aug 20, 2012
Key facts
- NPI
- 1750401485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- GARDEN RIDGE PHYSICAL THERAPY AND WELLNESS CENTER, P.C.
- Practice address
- 18945 FM 2252 Ste 107
Garden Ridge, TX 78266-2797 - Phone
- (210) 651-4826
- Fax
- (210) 651-4862
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Diana Castro Schonhoff, PT, DPT
- Title
- Owner & President
- Phone
- (210) 651-4826
Practitioners 2
-
Julianne Hoffman, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041012000639 | TX | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1254391543 |
Receives reassigned benefits from 1 practitioner Practice locations: Garden Ridge, TX |
National Provider Directory
Locations
18945 FM 2252
Ste 107
San Antonio, TX 78266
Phone (210) 651-4826
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Physical Therapist |
225100000X | Yes | ||
| Massage Therapist |
225700000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
18945 FM 2252 Ste 107
Garden Ridge, TX 78266-2797
Mailing address
18945 FM 2252 Ste 107
Garden Ridge, TX 78266-2797
Phone (210) 651-4826
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178015700 | Other | TX | DOL |
Other providers in Garden Ridge, TX
- Anthony Paul Flesuras
- Carol Renee Flores-Whorton
- Lela Flowers-Brown
- Angela Gallo Garcia
- Garden Ridge Christian Counseling
- Charity Gegenheimer
- Graceland Assisted Living
- Laura Griffin
- Sallyann P Grisolia
- Daniel Hacker
All providers in Garden Ridge, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.