MEDICARE: SNOWDEN ORTHOPEDIC & OCCUPATIONAL REHABILITATION, P.C.

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	225100000X	Physical Therapist	1022770	TX

General Provider Information

NPI Number	:	1619977394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SNOWDEN ORTHOPEDIC & OCCUPATIONAL REHABILITATION, P.C.

Provider Business Mailing Address
First Line	:	12758 CIMARRON PATH STE 126
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-3498
Country	:	US
Telephone Number	:	210-615-8844
Fax Number	:	210-615-6959

Provider Business Practice Location Address
First Line	:	12758 CIMARRON PATH STE 126
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-3498
Country	:	US
Telephone Number	:	210-615-8844
Fax Number	:	210-615-6959

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	THOMAS IRVIN WASHINGTON
Credential	:	PT
Telephone Number	:	210-615-8844

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	09/02/2025

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