Gemmaruth R San Pedro, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1084747 Issued in TX

Practice address

1112 E Griffin Pkwy Ste C
Mission, TX 78572-2409

Phone

(956) 424-6946

Fax

(956) 424-6957

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1750507174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 LAUREL AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013759",
            "telephone_number": "956-534-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E GRIFFIN PKWY STE C",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722409",
            "telephone_number": "956-424-6946",
            "fax_number": "956-424-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN PEDRO",
        "first_name": "GEMMARUTH",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1084747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "1084747",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alyssa Ashley Sanchez, FNP-BC

• Physical Therapist in Mission, TX
• Providers in Mission, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.