Active NPI
Teresa A Hayden, P.T.
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1811162886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1096410
- Practice address
- 4647 Medical Dr
San Antonio, TX 78229-4403 - Phone
- (210) 358-2710
- Fax
- (210) 358-4739
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 1096410 | TX | Primary |
Addresses
Primary practice location
4647 Medical Dr
San Antonio, TX 78229-4403
Mailing address
PO Box 87
San Antonio, TX 78291-0087
Phone (210) 358-9172
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1096410 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Specialists | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Medical Practice
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1922617125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1811162886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782910087",
"telephone_number": "210-358-9172",
"fax_number": "210-358-9183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4647 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294403",
"telephone_number": "210-358-2710",
"fax_number": "210-358-4739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN",
"first_name": "TERESA",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1096410",
"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 Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.