Individual provider Active NPI

Giovan Alberto Reyes-Mercado

  • Physical Therapist
  • Spring Branch, TX
National Provider Identifier
1972187474
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
184 Creekside Park Rd Ste 200
Spring Branch, TX 78070-6240
Phone
(830) 980-4565
Fax
(830) 980-4586
NPI assigned
May 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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 Primary

Addresses

Primary practice location

184 Creekside Park Rd Ste 200
Spring Branch, TX 78070-6240

Mailing address

7505 N Loop 1604 E Ste 101
Live Oak, TX 78233-2604
Phone (210) 590-4000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists CurrentSince May 10, 2021 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Sep 1, 2021 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince May 10, 2021 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist Past Accepting new patients

Locations

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

6836 Austin Center Blvd
Ste 180
Austin, TX 78731
Phone (512) 225-1002

20475 State Highway 46 W
Ste 104
Bulverde, TX 78070
Phone (830) 980-4565

11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

5917 Broadway
Ste 340
San Antonio, TX 78209

430 W Sunset Rd
Ste 430
San Antonio, TX 78209
Phone (210) 253-3450

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

184 Creekside Park Rd
Ste 200
Spring Branch, TX 78070
Phone (830) 438-7766

Organizations & group practices 5

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1972187474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 N LOOP 1604 E STE 101",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332604",
            "telephone_number": "210-590-4000",
            "fax_number": "210-590-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CREEKSIDE PARK RD STE 200",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706240",
            "telephone_number": "830-980-4565",
            "fax_number": "830-980-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-MERCADO",
        "first_name": "GIOVAN",
        "middle_name": "ALBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.