Individual provider Active NPI

Carlos Manuel Puig, PTA

  • Physical Therapy Assistant
  • San Antonio, TX
National Provider Identifier
1770082430
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2128207 Issued in TX
Practice address
1034 S Brownleaf St
San Antonio, TX 78227-1271
Phone
(201) 850-9694
NPI assigned
Feb 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2128207 TX Primary

Addresses

Primary practice location

1034 S Brownleaf St
San Antonio, TX 78227-1271

Mailing address

8403 State Highway 151 Ste 104
San Antonio, TX 78245-2055
Phone (201) 850-9694

Other identifiers 1

IdentifierTypeStateIssuer
1770082430MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8403 State Hwy 151
Suite 104
San Antonio, TX 78245

8403 State Hwy 151
Suite 104
San Antonio, TX 78245-2055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2128207TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thera P Care LLC CurrentSince Sep 6, 2025 Accepting new patients
Premier Healthcare Services Texas LLC Past Accepting new patients

Locations

8403 State Highway 151
Ste 104
San Antonio, TX 78245
Phone (210) 714-5507

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1770082430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 STATE HIGHWAY 151 STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452055",
            "telephone_number": "201-850-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BROWNLEAF ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782271271",
            "telephone_number": "201-850-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUIG",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-08",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2128207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770082430",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.