Active NPI
Jacquelyn Dimanlig Agcaoili, PT
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1871072801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1026 Central Pkwy S
San Antonio, TX 78232-5021 - Phone
- (210) 474-0037
- NPI assigned
- Aug 10, 2018
- 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 | Primary |
Addresses
Primary practice location
1026 Central Pkwy S
San Antonio, TX 78232-5021
Mailing address
1001 N Bedell Ave Apt 14
Del Rio, TX 78840-4102
Phone (469) 438-2443
Other practice location 1
3452 Lake Lynda Dr Ste 200
Orlando, FL 32817-1481
Phone (800) 774-7785
Other practice location 2
301 W Martin St
Del Rio, TX 78840-5429
Phone (830) 775-2459
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amistad Homecare, Inc | 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 and National Provider Directory roles.
-
- Home Health Agency
- San Antonio, TX
- NPI 1992791123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1871072801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N BEDELL AVE APT 14",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788404102",
"telephone_number": "469-438-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 CENTRAL PKWY S",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782325021",
"telephone_number": "210-474-0037"
}
],
"practiceLocations": [
{
"address_1": "3452 Lake Lynda Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328171481",
"country_code": "US",
"telephone_number": "800-774-7785",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 W Martin St",
"address_purpose": "LOCATION",
"city": "Del Rio",
"state": "TX",
"postal_code": "788405429",
"country_code": "US",
"telephone_number": "830-775-2459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIMANLIG AGCAOILI",
"first_name": "JACQUELYN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-10",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 Aug 10, 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.