Active NPI
Cordero Perales
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1932063377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1407127
- Practice address
- 16400 Blanco Rd
San Antonio, TX 78232-1902 - Phone
- (210) 724-0505
- NPI assigned
- Dec 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | 1407127 | TX | Primary |
Addresses
Primary practice location
16400 Blanco Rd
San Antonio, TX 78232-1902
Mailing address
4718 Allegheny Dr
San Antonio, TX 78229-5008
Phone (956) 893-2349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Texas Medical School at San Antonio, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1407127 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Up Rehab, LLC | Physical Therapist | Current | Accepting new patients |
Locations
16400 Blanco Rd
San Antonio, TX 78232
Phone (210) 408-1212
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1932063377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4718 ALLEGHENY DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295008",
"telephone_number": "956-893-2349"
},
{
"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": "210-724-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALES",
"first_name": "CORDERO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-10",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1407127",
"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 Dec 10, 2025; 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.