Individual provider Active NPI

Graciela Perez-Milicua, PT, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1942160015
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1201376 Issued in TX
Practice address
2804 Thousand Oaks Dr
San Antonio, TX 78232-4108
Phone
(210) 788-4086
NPI assigned
Nov 12, 2025
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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 1201376 TX Primary

Addresses

Primary practice location

2804 Thousand Oaks Dr
San Antonio, TX 78232-4108

Mailing address

18835 Calle Cierra
San Antonio, TX 78258-4032
Phone (210) 788-4086

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521003793 TX Practitioner - Physical Therapist in Private Practice 9335618198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation and Wellness LLCGroup PAC ID 1658840400, 2 clinicians

Practice addresses (Care Compare)

2804 Thousand Oaks Dr
San Antonio, TX 78232-4108
Phone (210) 788-4068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1201376TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation & Wellness LLC CurrentSince Jan 4, 2026 Accepting new patients

Locations

2804 Thousand Oaks Dr
San Antonio, TX 78232
Phone (210) 788-4068

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1942160015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18835 CALLE CIERRA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584032",
            "telephone_number": "210-788-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 THOUSAND OAKS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324108",
            "telephone_number": "210-788-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-MILICUA",
        "first_name": "GRACIELA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1201376",
            "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 Nov 18, 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.

Verify at the official NPI Registry.