Alan A Antenorcruz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1037745 Issued in TX

Practice address

170 Laurie Lane
Silsbee, TX 77656-1925

Phone

(409) 385-6052

NPI assigned

Jan 22, 2008

Last updated

Jan 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alan A. Antenorcruz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1952587974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1925",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776561925",
            "telephone_number": "409-385-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 LAURIE LANE",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776561925",
            "telephone_number": "409-385-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTENORCRUZ",
        "first_name": "ALAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1037745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAN",
            "last_name": "ANTENORCRUZ",
            "middle_name": "A.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Azka Ahmed, OD
• Alpha Rescue EMS
• Hannah Wright Alston, MS CCC SLP
• Jonathan Mawunyo Ankutse, PHARM.D.; M.S.
• Harriet Hays Armstrong, D.M.D.
• Jesse Balderas, PTA
• Barri Hoffman, FNP, P.L.L.C. (Head to Toe Family Healthcare)
• Tracy Bell, MA LPC
• Nellie Bernard

• Physical Therapist in Silsbee, TX
• Providers in Silsbee, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.