Organization Active NPI

Healthcare Executives

Doing business as Fyzical Therapy and Balance Centers North San Antonio

  • Specialist
  • San Antonio, TX
National Provider Identifier
1942625801
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1040335 Issued in TX
Legal business name
HEALTHCARE EXECUTIVES
Doing business as
Fyzical Therapy and Balance Centers North San Antonio
Practice address
21708 Hardy Oak Blvd
Suite 105
San Antonio, TX 78258-4832
Phone
(210) 921-1599
Fax
(210) 921-2088
NPI assigned
Feb 28, 2014
Organization subpart
Yes
Parent organization
HEALTHCARE EXECUTIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Mr. Francis Jeffery Pottenger, P.T.NPI 1760549588
Title
President
Phone
(210) 921-1599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1040335 TX Primary

Addresses

Primary practice location

21708 Hardy Oak Blvd
Suite 105
San Antonio, TX 78258-4832

Mailing address

21708 Hardy Oak Blvd
Suite 105
San Antonio, TX 78258-4832
Phone (210) 921-1599

Other names 1

  • Fyzical Therapy and Balance Centers North San Antonio Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051005000846 TX Part B Supplier - Clinic/Group Practice 1557396827 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Antonio, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
South San Physical Ther

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1942625801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21708 HARDY OAK BLVD",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584832",
            "telephone_number": "210-921-1599",
            "fax_number": "210-921-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21708 HARDY OAK BLVD",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584832",
            "telephone_number": "210-921-1599",
            "fax_number": "210-921-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE EXECUTIVES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHCARE EXECUTIVES",
        "enumeration_date": "2014-02-28",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "POTTENGER",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-921-1599",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "1040335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Centers North San Antonio",
            "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 May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.