PT Home Services of San Antonio Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

003402 Issued in TX

Legal business name

PT HOME SERVICES OF SAN ANTONIO INC

Practice address

40 NE Loop 410
#640
San Antonio, TX 78216-5828

Phone

(210) 342-2667

Fax

(210) 340-2416

NPI assigned

Jan 13, 2006

Organization subpart

No

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

Authorized official

Name

Robert Marx

Title

Board Member/President

Phone

(718) 468-4747

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1922087378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N E LOOP 410",
            "address_2": "SUITE # 640",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165827",
            "telephone_number": "210-342-2667",
            "fax_number": "210-340-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NE LOOP 410",
            "address_2": "#640",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165828",
            "telephone_number": "210-342-2667",
            "fax_number": "210-340-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT HOME SERVICES OF SAN ANTONIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "BOARD MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "718-468-4747"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001002357",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Psychfit360
• Psychiatric Associates of San Antonio
• Psychiatric Inpatient Management Services, PLLC
• Psychological Services, C.a.F.
• Psychotherapeutic Services
• PT Home Services of San Antonio, Inc.
• Alisa Leron Puatu
• Felipe Andres Pubillones, DO
• Daniela Estefania Puche Villalobos, SA-C
• Bollamma Poonacha Puchimada, BDS, MSD

• Home Health Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.