Active NPI
Carlos Manuel Puig, PTA
- Physical Therapy Assistant
- San Antonio, TX
National Provider Identifier
1770082430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2128207
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770082430 | Medicaid | TX |
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2128207 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thera P Care LLC | Current | 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.
-
- Physical Therapist
- San Antonio, TX
- NPI 1588540512
-
- Home Health Agency
- San Antonio, TX
- NPI 1821500166
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.