Phillip Michael Light, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1389403 Issued in TX

Practice address

3875 E Southcross Blvd Ste B
San Antonio, TX 78222-3521

Phone

(210) 337-7953

Fax

(210) 337-7966

NPI assigned

Feb 16, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mission Rehabilitation and Sports Medicine Limited PartnershipGroup PAC ID 6709943160, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mission Rehabilitation and Sports Medicine Limited Partnership

  • Physical Therapist
  • San Antonio, TX
  • NPI 1053559443
  Medicare reassignment Care Compare group NPD
• Mission Rehabilitation and Sports Medicine Limited Partnership

  • Physical Therapist
  • Cibolo, TX
  • NPI 1497225973
  NPD

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1952166241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 JUDSON RD STE 260",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333262",
            "telephone_number": "210-337-7953",
            "fax_number": "210-337-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 E SOUTHCROSS BLVD STE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223521",
            "telephone_number": "210-337-7953",
            "fax_number": "210-337-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "PHILLIP",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1389403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allie Malee Ligas, CSFA
• Light Dental, PLLC
• Light of Hope Health Services Inc
• Light on the Horizon
• Heather Andrea Light
• Rebecca Jo Light, FNP
• Jan Lightfoot
• Maria Angelina Lightfoot, RN
• Lighthouse Counseling of San Antonio, PLLC
• Lighthouse Hospice - San Antonio, LLC

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.