Individual provider Active NPI

Silas Pimentel, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1760898894
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013627A Issued in IN
Practice address
5720 Bandera Rd Ste 14
San Antonio, TX 78238
Phone
(210) 298-8866
NPI assigned
Jul 9, 2014
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05013627A IN Primary

Addresses

Primary practice location

5720 Bandera Rd Ste 14
San Antonio, TX 78238

Mailing address

124 Hawthorne LN
Greenwood, IN 46142-9430
Phone (317) 332-9861

Other practice location 1

5965 S 900 E
Murray, UT 84121-1720
Phone (801) 263-7138

Other practice location 2

5965 S 900 E
Murray, UT 84121-1720
Phone (801) 263-7138

Other identifiers 1

IdentifierTypeStateIssuer
1310793OtherTXLINKING SELF PHYSICAL THERAPY LICENSE TO NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201120000407 IN Practitioner - Physical Therapist in Private Practice 3274944335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.79 of 100Reported as group
Quality
90
Improvement activities
40
Cost
30.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy on Wheels, Inc. Physical Therapist CurrentSince Nov 4, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1760898894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HAWTHORNE LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429430",
            "telephone_number": "317-332-9861",
            "fax_number": "317-893-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 BANDERA RD STE 14",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78238",
            "telephone_number": "210-298-8866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5965 S 900 E",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841211720",
            "country_code": "US",
            "telephone_number": "801-263-7138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5965 S 900 E",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841211720",
            "country_code": "US",
            "telephone_number": "801-263-7138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "SILAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013627A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINKING SELF PHYSICAL THERAPY LICENSE TO NPI",
            "identifier": "1310793",
            "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 Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.