MEDICARE: POST ACUTE MEDICAL AT SAN ANTONIO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center
2	283X00000X	Rehabilitation Hospital	000643	TX

General Provider Information

NPI Number	:	1376588228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POST ACUTE MEDICAL AT SAN ANTONIO LLC

Provider Business Mailing Address
First Line	:	1828 GOOD HOPE RD STE 102
Second Line	:
City	:	ENOLA
State	:	PA
Zip	:	17025-1203
Country	:	US
Telephone Number	:	717-731-9660
Fax Number	:

Provider Business Practice Location Address
First Line	:	5101 MEDICAL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4801
Country	:	US
Telephone Number	:	210-616-0100
Fax Number	:	210-592-5458

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ANTHONY MISITANO
Credential	:
Telephone Number	:	717-731-9660

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	10/31/2025

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