MEDICARE: PYRAMID PHYSICAL THERAPY & PILATES

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1396350732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PYRAMID PHYSICAL THERAPY & PILATES

Provider Business Mailing Address
First Line	:	4939 DE ZAVALA RD STE 103
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2001
Country	:	US
Telephone Number	:	210-616-0629
Fax Number	:	210-616-0916

Provider Business Practice Location Address
First Line	:	4939 DE ZAVALA RD STE 103
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-2001
Country	:	US
Telephone Number	:	210-616-0629
Fax Number	:	210-616-0916

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CYNTHIA MENDEZ
Credential	:	DPT
Telephone Number	:	210-616-0629

Provider Enumeration Date	:	09/12/2020
Last Update Date	:	01/25/2021

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