Individual provider Active NPI

Elise Janette Tamburelli, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1821392465
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1202733 Issued in TX
Practice address
300 E Sonterra Blvd Ste 210
San Antonio, TX 78258-3991
Phone
(210) 494-4500
Fax
(210) 494-4501
NPI assigned
Dec 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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 1202733 TX Primary

Addresses

Primary practice location

300 E Sonterra Blvd Ste 210
San Antonio, TX 78258-3991

Mailing address

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247-4215
Phone (972) 691-1331

Other practice location 1

4401 Long Prairie Rd
Suite 300
Flower Mound, TX 75028-1794
Phone (972) 691-1331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160414000164 TX Practitioner - Physical Therapist in Private Practice 2769780402 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physical Therapy Specialists, IncGroup PAC ID 2567422538, 238 clinicians

Practice addresses (Care Compare)

300 E Sonterra Blvd
Suite 210
San Antonio, TX 78258-3991
Phone (210) 403-2098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1202733TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meredith S. Tittle, P.T., LLC Physical Therapist CurrentSince Dec 22, 2015 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist CurrentSince Jan 8, 2018 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Jan 8, 2018 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Jan 8, 2018 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Jan 8, 2018 Accepting new patients
Coppell Spine & Sports Rehab Limited Partnership Past Accepting new patients

Locations

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

2652 FM 407 E
Ste 115
Bartonville, TX 76226
Phone (940) 241-1215

11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

4040 Bryce Ln
Lewisville, TX 75077
Phone (940) 241-1215

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

300 E Sonterra Blvd
Ste 210
San Antonio, TX 78258
Phone (210) 403-2098

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

Organizations & group practices 6

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": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1821392465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 JONES MALTSBERGER RD",
            "address_2": "STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474215",
            "telephone_number": "972-691-1331",
            "fax_number": "972-691-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E SONTERRA BLVD STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583991",
            "telephone_number": "210-494-4500",
            "fax_number": "210-494-4501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Long Prairie Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750281794",
            "country_code": "US",
            "telephone_number": "972-691-1331",
            "fax_number": "972-691-1731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMBURELLI",
        "first_name": "ELISE",
        "middle_name": "JANETTE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1202733",
            "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 Jul 21, 2023; 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.