NPIMap

Organization Active NPI

Texas Physical Therapy Specialists

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1760847834
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TEXAS PHYSICAL THERAPY SPECIALISTS
Practice address
2902 Goliad Rd
San Antonio, TX 78223-3958
Phone
(888) 590-4002
Fax
(210) 590-4585
NPI assigned
Dec 16, 2015
Last updated
Dec 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Shyla Burrell
Title
Credentialing Coordinator
Phone
(888) 590-4002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2902 Goliad Rd
San Antonio, TX 78223-3958

Mailing address

17325 Bell North Dr
Suite 2-B
Schertz, TX 78154-3368
Phone (888) 590-4002

Other identifiers 1

IdentifierTypeStateIssuer
170506301MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Texas Physical Therapy Specialists26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

2902 Goliad Rd
San Antonio, TX 78223

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1760847834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 BELL NORTH DR",
            "address_2": "SUITE 2-B",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543368",
            "telephone_number": "888-590-4002",
            "fax_number": "210-590-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 GOLIAD RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233958",
            "telephone_number": "888-590-4002",
            "fax_number": "210-590-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PHYSICAL THERAPY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "SHYLA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "888-590-4002"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170506301",
            "state": "TX"
        }
    ],
    "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 Dec 16, 2015; 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.