Individual provider Active NPI

Abel Aziz Escamilla, PT

  • Physical Therapy Assistant
  • San Antonio, TX
National Provider Identifier
1821604786
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2154896 Issued in TX
Practice address
16400 Blanco Rd
San Antonio, TX 78232-1902
Phone
(210) 572-4954
NPI assigned
Sep 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 2154896 TX Primary

Addresses

Primary practice location

16400 Blanco Rd
San Antonio, TX 78232-1902

Mailing address

8050 Oakdell Way Apt 908
San Antonio, TX 78240-3914
Phone (830) 719-9855

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
2154896TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1821604786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 OAKDELL WAY APT 908",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403914",
            "telephone_number": "830-719-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321902",
            "telephone_number": "210-572-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCAMILLA",
        "first_name": "ABEL",
        "middle_name": "AZIZ",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2154896",
            "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 Sep 16, 2020; 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.