Individual provider Active NPI

Karla Renee Thiebaud, PH.D, P.T.

  • Orthopedic Physical Therapist
  • San Antonio, TX
National Provider Identifier
1801895982
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1074060 Issued in TX
Practice address
1211 Arion Pkwy
Suite 100
San Antonio, TX 78216-2808
Phone
(210) 366-2990
Fax
(210) 491-8098
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1074060 TX Primary

Addresses

Primary practice location

1211 Arion Pkwy
Suite 100
San Antonio, TX 78216-2808

Mailing address

PO Box 792590
San Antonio, TX 78279-2590
Phone (210) 366-2990

Other identifiers 1

IdentifierTypeStateIssuer
86158TOtherTXBCBS OF TEXAS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909001107 TX Practitioner - Physical Therapist in Private Practice 3779608088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Group practices
The Orthopedic StoreGroup PAC ID 1355255977, 3 clinicians

Practice addresses (Care Compare)

1218 Arion Pkwy
Suite 116
San Antonio, TX 78216-2813
Phone (210) 366-2990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopedic Store CurrentSince May 1, 2001 Accepting new patients
The Orthopedic Store Orthopedic Current Accepting new patients

Locations

1211 Arion Pkwy
Ste 100
San Antonio, TX 78216
Phone (210) 366-2990

1218 Arion Pkwy
Ste 116
San Antonio, TX 78216
Phone (210) 366-2990

5460 Babcock Rd
Ste 100
San Antonio, TX 78240
Phone (210) 491-8038

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801895982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792590",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782792590",
            "telephone_number": "210-366-2990",
            "fax_number": "210-491-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 ARION PKWY",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162808",
            "telephone_number": "210-366-2990",
            "fax_number": "210-491-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEBAUD",
        "first_name": "KARLA",
        "middle_name": "RENEE",
        "credential": "PH.D, P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1074060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "86158T",
            "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 13, 2026; 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.