PUCKETT SPORTS REHAB
Clinic/Center (Physical Therapy)

Address: 14886 Tradesman Ste 110, San Antonio, TX 78249-1394

PUCKETT SPORTS REHAB (NPI# 1750969531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750969531
Entity Type Organization
Organization Name PUCKETT SPORTS REHAB
Practice Address 14886 Tradesman Ste 110
San Antonio
TX 78249-1394
Practice Telephone 2107429423
Practice Fax Number 2108552542
Mailing Address 19926 Horizon Blf
San Antonio
TX 78258-3150
Mailing Telephone 2103876993
Certification Date 2021-03-31
Enumeration Date 2021-03-31
Last Update Date 2021-03-31
Authorized Official Telephone 2103876993
Authorized Official Credential DPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Puckett Physical Therapy Former Legal Business Name

Office Location

Street Address 14886 TRADESMAN STE 110
City SAN ANTONIO
State TX
Zip Code 78249-1394

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1336700582 Michael Leland Post Specialist/Technologist - Athletic Trainer 5150 Dezavala, San Antonio, TX 78249 2019-06-27
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1104472935 Adam J Gordon Social Worker 6363 Dezavala Rd, San Antonio, TX 78249 2019-08-16
1013491752 May E Orcel Registered Nurse 4601 Dezavala Rd, Apt 611, San Antonio, TX 78249 2018-09-19
1184222663 Zachary Mitchell Kimo Mitsui Specialist/Technologist - Athletic Trainer 7311 Bluestone Rd, San Antonio, TX 78249 2020-10-15
1306455530 Z-Pediatrics Pllc Pediatrics 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 2020-07-23
1225528672 Timberwood Rx LLC Pharmacy - Community/Retail Pharmacy 5563 Dezavala Rd Ste 180, San Antonio, TX 78249 2018-05-11
1043788722 Stephen John Reynolds Counselor - Mental Health 5907 Trent Rnch, San Antonio, TX 78249 2018-11-11
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114509833 Forged Physical Therapy and Performance, Pllc Clinic/Center - Physical Therapy 3131 Thousand Oaks Dr, San Antonio, TX 78247-3304 2021-04-22
1396350732 Pyramid Physical Therapy & Pilates · Pyramid Physical Therapy & Pilates Clinic/Center - Physical Therapy 4939 De Zavala Rd Ste 103, San Antonio, TX 78249-2001 2020-09-12
1124641261 Positive Action Rehab & Performance Clinic/Center - Physical Therapy 1502 S Flores St, San Antonio, TX 78204-1638 2020-05-23
1356978787 Christrun, Inc Clinic/Center - Physical Therapy 16806 Hidden Timber Wood, San Antonio, TX 78248-1427 2020-03-25
1831739721 Agilitas Usa, Inc · Results Physiotherapy Clinic/Center - Physical Therapy 2314 Se Military Dr Ste 110, San Antonio, TX 78223-3527 2020-01-09
1811532716 Alamo Home Rehab Pllc Clinic/Center - Physical Therapy 12903 Brewster Ml, San Antonio, TX 78253-4475 2019-11-14
1043878523 Outperformance Physical Therapy, LLC Clinic/Center - Physical Therapy 23535 W Interstate 10 Ste 1102, San Antonio, TX 78257-1668 2019-05-30
1265909220 3a's Therapy Services Clinic/Center - Physical Therapy 11825 W Ih 10 Ste 209, San Antonio, TX 78230-1040 2018-10-29
1215402888 Kp3 Function, Pllc Clinic/Center - Physical Therapy 2222 Breezewood Dr, San Antonio, TX 78209-3902 2018-10-10
1225527310 Scoliosis Therapy of San Antonio, LLC Clinic/Center - Physical Therapy 24860 Breeze Oak, San Antonio, TX 78255-2047 2018-05-04
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Competitor

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City SAN ANTONIO
Zip Code 78249

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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