NPI 1013626423 · live from the CMS NPI Registry
Active Evolution Physical Therapy
Physical Therapist in San Antonio, TX. National Provider Identifier 1013626423, active.
NPI record
| NPI | 1013626423 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 12370 Potranco Rd Ste 207, San Antonio, TX 78253 |
| Practice phone | 210-570-4312 |
| Enumerated | November 15, 2022 |
| Last updated | November 15, 2022 |
| Authorized official | Arielle Garcia, Physical Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.