Kara Elizondo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-0535 Issued in NM

Practice address

4211 Gardendale St Ste 200a
San Antonio, TX 78229

Phone

(210) 615-7837

NPI assigned

Apr 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kara Potter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1821053323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 BUCK RIDGE LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324951",
            "telephone_number": "210-701-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 GARDENDALE ST STE 200A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-615-7837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 10th St",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883105012",
            "country_code": "US",
            "telephone_number": "505-439-1239",
            "fax_number": "505-434-8820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "KARA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2042919",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A-0535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "POTTER",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emma Margot Elizondo, MD
• Guadalupe I Elizondo, LPC
• Ivan Elizondo, MS, LPC
• Jorge Alejandro Elizondo
• Joseph Stephen Elizondo, M.D.
• Kira Nikole Elizondo, MD
• Lauren Maree Elizondo, FNP
• Lisa Ann Elizondo, LVN
• Maria Elizondo, RDN, LD
• Michael Elizondo, PTA

• Physical Therapy Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.