MEDICARE: BOBCAT REHAB AND SPORTS MEDICINE 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	2251S0007X	Sports Physical Therapist

General Provider Information

NPI Number	:	1861299497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOBCAT REHAB AND SPORTS MEDICINE LLC

Provider Business Mailing Address
First Line	:	400 UHLAND RD STE 3
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-6979
Country	:	US
Telephone Number	:	512-210-8712
Fax Number	:	215-484-1024

Provider Business Practice Location Address
First Line	:	400 UHLAND RD STE 3
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-6979
Country	:	US
Telephone Number	:	210-201-4141
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	DR. TIFFANY JEAN CONSTANTINO
Credential	:	DPT
Telephone Number	:	210-909-6882

Provider Enumeration Date	:	03/01/2025
Last Update Date	:	12/08/2025

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