Individual provider Active NPI

Cristofer Nguyen, PTA

  • Physical Therapy Assistant
  • San Antonio, TX
National Provider Identifier
1801610779
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2184001 Issued in TX
Practice address
7719 Interstate 35 S Ste 213
San Antonio, TX 78224-1134
Phone
(210) 423-3033
NPI assigned
Nov 8, 2024
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 2184001 TX Primary

Addresses

Primary practice location

7719 Interstate 35 S Ste 213
San Antonio, TX 78224-1134

Mailing address

7719 Interstate 35 S Ste 213
San Antonio, TX 78224-1134
Phone (210) 423-3033

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
2184001TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
VHS San Antonio Partners LLC PastSince Nov 10, 2024 Accepting new patients
VHS San Antonio Partners, LLC PastSince Nov 10, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1801610779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7719 INTERSTATE 35 S STE 213",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241134",
            "telephone_number": "210-423-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7719 INTERSTATE 35 S STE 213",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241134",
            "telephone_number": "210-423-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CRISTOFER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2184001",
            "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 Nov 8, 2024; 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.