Individual provider Active NPI

Megan E Sette-Cordova, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1962832881
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1234390 Issued in TX
Practice address
15614 Huebner Rd Ste 115
San Antonio, TX 78248-0993
Phone
(210) 479-3334
Fax
(210) 479-3338
NPI assigned
Nov 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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 1234390 TX Primary

Addresses

Primary practice location

15614 Huebner Rd Ste 115
San Antonio, TX 78248-0993

Mailing address

15614 Huebner Rd Ste 115
San Antonio, TX 78248-0993
Phone (210) 479-3334

Other identifiers 1

IdentifierTypeStateIssuer
1234390OtherTXTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1234390TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1962832881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15614 HUEBNER RD STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480993",
            "telephone_number": "210-479-3334",
            "fax_number": "210-479-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15614 HUEBNER RD STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480993",
            "telephone_number": "210-479-3334",
            "fax_number": "210-479-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETTE-CORDOVA",
        "first_name": "MEGAN",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1234390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "1234390",
            "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 Jan 29, 2019; 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.