Sandra Waclawczyk, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2013744 Issued in TX

Practice address

1248 Austin Hwy
Ste 210
San Antonio, TX 78209-4821

Phone

(210) 646-8008

Fax

(210) 646-8242

NPI assigned

Sep 22, 2015

Last updated

Sep 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Sandra Jaeckle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• S. Potts and Professionals, Inc.

  dba Pediatric Therapy Associates

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • San Antonio, TX
  • NPI 1245342773

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1972972701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 AUSTIN HWY",
            "address_2": "STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094821",
            "telephone_number": "210-646-8008",
            "fax_number": "210-646-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 AUSTIN HWY",
            "address_2": "STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094821",
            "telephone_number": "210-646-8008",
            "fax_number": "210-646-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACLAWCZYK",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2013744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "JAECKLE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• W.K. Crooks, Inc (International Rehabilitation)
• W2020 Vision LLC
• Matthew William Waack, D.O.
• Waad & Abd LLC (Rejuvenate Chiropractic)
• Lois M Wachsmuth, LPC
• Ashley Waclawiak, LCSW
• Waco Lithotripsy, LLC
• Jamie E Wadas
• Shawn Waddell
• Gary Waddington

• Physical Therapy Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.