Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PROFESSIONAL THERAPY SERVICES
Active
Organization
PROFESSIONAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DERMONT (CLINIC SUPERVISOR)
(210) 654-7428
Entity
Organization
Contact information
Practice address
8800 VILLAGE DR, STE 101, SAN ANTONIO, TX 78217
(210) 654-7428
(210) 654-8122
Mailing address
14220 NORTHBROOK, STE 700, SAN ANTONIO, TX 78232
(210) 822-8807
(210) 822-8863
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
636700002
TX
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0814931-01
—
TX
01
—
U46F
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/31/2006
Last updated
03/16/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up