Organization Active NPI

Texas United Rehab Therapy Specialists LLC

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1760992465
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1248635 Issued in TX
Legal business name
TEXAS UNITED REHAB THERAPY SPECIALISTS LLC
Practice address
20079 Stone Oak Pkwy Ste 1230
San Antonio, TX 78258-6957
Phone
(210) 236-0911
Fax
(210) 899-0912
NPI assigned
Oct 7, 2017
Last updated
Jun 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Oladipupo A. Mustapha, PTNPI 1477942100
Title
Managing Partner
Phone
(210) 236-0911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1248635 TX Primary

Addresses

Primary practice location

20079 Stone Oak Pkwy Ste 1230
San Antonio, TX 78258-6957

Mailing address

20079 Stone Oak Pkwy Ste 1230
San Antonio, TX 78258-6957
Phone (210) 236-0911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200609003201 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941621437 Receives reassigned benefits from 4 practitioners
Practice locations: Converse, TX

National Provider Directory

National Provider Directory

Locations

7585 Kitty Hawk Rd
Ste 202
Converse, TX 78109
Phone (210) 236-0911

20079 Stone Oak Pkwy
Ste 1230
San Antonio, TX 78258
Phone (210) 236-0911

Practitioners & affiliated clinicians

Practitioners 5

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": "1507334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1760992465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586957",
            "telephone_number": "210-236-0911",
            "fax_number": "210-899-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586957",
            "telephone_number": "210-236-0911",
            "fax_number": "210-899-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS UNITED REHAB THERAPY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-07",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "MUSTAPHA",
        "authorized_official_first_name": "OLADIPUPO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "210-236-0911",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1248635",
            "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 Jun 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.