Individual provider Active NPI

Jorge Guerrero, PT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1962522755
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1151221 Issued in TX
Practice address
2210 NW Military Hwy
Suite 101
San Antonio, TX 78213-1815
Phone
(210) 308-5558
Fax
(210) 308-5557
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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 1151221 TX Primary

Addresses

Primary practice location

2210 NW Military Hwy
Suite 101
San Antonio, TX 78213-1815

Mailing address

11531 Whisper Breeze St
San Antonio, TX 78230-3524
Phone (210) 884-6230

Other identifiers 3

IdentifierTypeStateIssuer
1918013MedicaidTX
9312107OtherAETNA
8T7711OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000728 TX Practitioner - Physical Therapist in Private Practice 6103903828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Physical Therapy, P.L.L.CGroup PAC ID 1951488667, 3 clinicians

Practice addresses (Care Compare)

818 Knights Cross Dr
Suite 5107
San Antonio, TX 78258-2983
Phone (210) 308-5558

Merit-based Incentive Payment System (MIPS)

Final score
15.84 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
52.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1151221TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Physical Therapy, P.L.L.C Physical Therapist CurrentSince Aug 3, 2007 Accepting new patients
Graciela Moreno, M.D., P.a. PastSince Jan 5, 2004 Accepting new patients

Locations

2210 NW Military Hwy
#101
San Antonio, TX 78213
Phone (210) 308-5558

2010 NW Military Hwy
San Antonio, TX 78213
Phone (210) 308-5558

818 Knights Cross Dr
Ste 5107
San Antonio, TX 78258
Phone (210) 308-5558

Organizations & group practices 2

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1962522755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11531 WHISPER BREEZE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303524",
            "telephone_number": "210-884-6230",
            "fax_number": "210-308-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 NW MILITARY HWY",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131815",
            "telephone_number": "210-308-5558",
            "fax_number": "210-308-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "JORGE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1151221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1918013",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9312107",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T7711",
            "state": "TX"
        }
    ],
    "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 Jun 3, 2008; 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.