Organization Active NPI

Tricity Pain Associates PA

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1881229565
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRICITY PAIN ASSOCIATES PA
Doing business as
Phase 4 Physiotherapy
Practice address
18707 Hardy Oak Blvd Ste 500
San Antonio, TX 78258-4841
Phone
(844) 789-7246
Fax
(888) 880-9323
NPI assigned
Mar 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Laura Jean Paredez
Title
Director Revenue Cycle Management
Phone
(210) 268-0129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

18707 Hardy Oak Blvd Ste 500
San Antonio, TX 78258-4841

Mailing address

PO Box 642016
Dallas, TX 75264-2016
Phone (210) 756-5989

Other names 1

  • Phase 4 Physiotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

20323 Huebner Rd
Ste 104
San Antonio, TX 78258
Phone (210) 979-7500

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1881229565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642016",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752642016",
            "telephone_number": "210-756-5989",
            "fax_number": "210-568-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18707 HARDY OAK BLVD STE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584841",
            "telephone_number": "844-789-7246",
            "fax_number": "888-880-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICITY PAIN ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "PAREDEZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "210-268-0129"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phase 4 Physiotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phase 4 Physiotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 2024; 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.