Individual provider Active NPI

Gerardo Loza, PT, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1801315064
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1294547 Issued in TX
Practice address
1635 NE Loop 410 Ste 600
San Antonio, TX 78209-1619
Phone
(210) 457-2000
NPI assigned
Sep 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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 1294547 TX Primary

Addresses

Primary practice location

1635 NE Loop 410 Ste 600
San Antonio, TX 78209-1619

Mailing address

1635 NE Loop 410 Ste 600
San Antonio, TX 78209-1619
Phone (210) 457-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1294547TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1801315064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 NE LOOP 410 STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091619",
            "telephone_number": "210-457-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NE LOOP 410 STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091619",
            "telephone_number": "210-457-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZA",
        "first_name": "GERARDO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1294547",
            "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 Sep 19, 2017; 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.