Puckett Sports Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PUCKETT SPORTS REHAB

Practice address

14886 Tradesman Ste 110
San Antonio, TX 78249-1394

Phone

(210) 742-9423

Fax

(210) 855-2542

NPI assigned

Mar 31, 2021

Last updated

Mar 31, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Puckett, DPT

Title

Owner

Phone

(210) 387-6993

Specialties & licenses 1

Addresses

Other names 1

• Puckett Physical Therapy Former legal business name

Locations

Practitioners 3

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.

• Derek Akunne

  • Physical Therapist
  • San Antonio, TX
  • NPI 1396310462
  NPD
• Timothy O'Dell Puckett, DPT

  • Orthopedic Physical Therapist
  • Leon Valley, TX
  • NPI 1184910507
  NPD
• Jacob Robinson, PT, DPT

  • Sports Physical Therapist
  • Pantego, TX
  • NPI 1417622986
  NPD (past)

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1750969531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19926 HORIZON BLF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583150",
            "telephone_number": "210-387-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14886 TRADESMAN STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491394",
            "telephone_number": "210-742-9423",
            "fax_number": "210-855-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUCKETT SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-387-6993",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puckett Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alisa Leron Puatu
• Felipe Andres Pubillones, DO
• Ann-Marie Puccio, LCSW
• Daniela Estefania Puche Villalobos, SA-C
• Bollamma Poonacha Puchimada, BDS, MSD
• Curtiss L. Puckett, PA-C
• James Addison Puckett, RNC-NIC, MSN, NNP-BC
• Janet D Puckett, MD
• Regan Puckett, IONM
• Terry Gay Puckett

• Physical Therapy Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.