Organization Active NPI

Pyramid Plaza Physical Therapy, Inc.

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1750461372
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
605480000 Issued in TX
Legal business name
PYRAMID PLAZA PHYSICAL THERAPY, INC.
Practice address
6391 Dezavala Rd
Suite 100
San Antonio, TX 78249-2143
Phone
(210) 616-0629
Fax
(210) 616-0916
NPI assigned
Oct 17, 2006
Last updated
Jul 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Ms. Mary Lee Pratt, P.T.NPI 1578513388
Title
Owner/President
Phone
(210) 616-0629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 605480000 TX Primary

Addresses

Primary practice location

6391 Dezavala Rd
Suite 100
San Antonio, TX 78249-2143

Mailing address

6391 Dezavala Rd
Suite 100
San Antonio, TX 78249-2143
Phone (210) 616-0629

National Provider Directory

National Provider Directory

Locations

6391 De Zavala Rd
Ste 100
San Antonio, TX 78249
Phone (210) 286-9339

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1750461372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6391 DEZAVALA RD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492143",
            "telephone_number": "210-616-0629",
            "fax_number": "210-616-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6391 DEZAVALA RD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492143",
            "telephone_number": "210-616-0629",
            "fax_number": "210-616-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID PLAZA PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "210-616-0629",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "605480000",
            "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 29, 2008; 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.