Individual provider Active NPI

Fernando A Marquez Jr., DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1881282812
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1332748 Issued in TX
Practice address
9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598
Phone
(210) 615-3566
Fax
(210) 615-7743
NPI assigned
Jan 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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 1332748 TX Primary

Addresses

Primary practice location

9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598

Mailing address

9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598
Phone (210) 615-3566

Other practice location 1

18626 Hardy Oak Blvd Ste 200
San Antonio, TX 78258-4219
Phone (210) 293-2941

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210125001595 TX Practitioner - Physical Therapist in Private Practice 1759795271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1405 Jacaman Rd
Suite 106
Laredo, TX 78041-6225
Phone (956) 568-0003

1405 Jacaman Rd
Suite 106
Laredo, TX 78041-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1332748TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy Place, LLC Physical Therapist CurrentSince Aug 22, 2025 Accepting new patients
South Texas Direct Kids LLC Physical Therapist PastSince Jan 24, 2022 Accepting new patients

Locations

1405 Jacaman Rd
Ste 106
Laredo, TX 78041
Phone (956) 568-0003

Organizations & group practices 2

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1881282812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 290",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401598",
            "telephone_number": "210-615-3566",
            "fax_number": "210-615-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 290",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401598",
            "telephone_number": "210-615-3566",
            "fax_number": "210-615-7743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18626 Hardy Oak Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584219",
            "country_code": "US",
            "telephone_number": "210-293-2941",
            "fax_number": "210-474-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "FERNANDO",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1332748",
            "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 Jan 5, 2021; 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.