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SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO PA NPI 1861549503


NPI Information

NPI: 1861549503
Provider Name: SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, PA
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 45D1019683

Address:
21 SPURS LN
STE 300
SAN ANTONIO, TX
ZIP 78240
Phone: (210) 561-7137
Get Directions

SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, PA is a sports medicine orthopaedic surgery in San Antonio, TX. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, PA NPI is 1861549503. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 SPURS LN
STE 300
SAN ANTONIO, TX
ZIP 78240-679
Phone: (210) 561-7137
Fax: (210) 561-7121

The provider's authorized official is Julie Birkelo .
The authorized official title is Credentialing and has the following contact phone number (210) 756-5240.

The CLIA number assigned to this NPI record is 45D1019683 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 1/23/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QS0010XFamily MedicineSports MedicineNo
2208100000XPhysical Medicine & RehabilitationNo
3213E00000XPodiatristNo
4213ES0103XPodiatristFoot & Ankle SurgeryNo
5225100000XPhysical TherapistNo
6332B00000XDurable Medical Equipment & Medical SuppliesNo
7207XX0005XOrthopaedic SurgerySports MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1125351500OTHERTEXASDOL
2164423902MEDICAIDTEXAS
30051KVOTHERTEXASBCBSTX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.