Individual provider Active NPI

Kelvin Uba, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1801509500
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1371115 Issued in TX
Practice address
2140 Babcock Rd Ste 130
San Antonio, TX 78229-4400
Phone
(210) 614-7953
Fax
(210) 614-4190
NPI assigned
Dec 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 1371115 TX Primary

Addresses

Primary practice location

2140 Babcock Rd Ste 130
San Antonio, TX 78229-4400

Mailing address

12413 Judson Rd Ste 260
Live Oak, TX 78233-3262
Phone (210) 656-7953

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119001068 TX Practitioner - Physical Therapist in Private Practice 1557732112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3875 E Southcross
Suite B
San Antonio, TX 78222-3521
Phone (210) 337-7953

6511 W Loop 1604
Suite 117
San Antonio, TX 78254-5440
Phone (210) 201-0185

Merit-based Incentive Payment System (MIPS)

Final score
49.35 of 100Reported as group
Quality
41.37
Improvement activities
20
Cost
63.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1371115TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Mission Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients

Locations

12413 Judson Rd
Ste 260
Live Oak, TX 78233
Phone (210) 656-7953

894 Loop 337
Ste C
New Braunfels, TX 78130
Phone (830) 609-2000

2140 Babcock Rd
Ste 130
San Antonio, TX 78229
Phone (210) 614-7953

3875 E Southcross Blvd
Ste B
San Antonio, TX 78222
Phone (210) 337-7953

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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1801509500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 JUDSON RD STE 260",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333262",
            "telephone_number": "210-656-7953",
            "fax_number": "210-656-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 BABCOCK RD STE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294400",
            "telephone_number": "210-614-7953",
            "fax_number": "210-614-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBA",
        "first_name": "KELVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1371115",
            "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 Dec 28, 2022; 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.