MEDICARE: DR. CLAYTON D GABLE PT

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	1023414	TX
2	2251N0400X	Neurology Physical Therapist	1023414	TX

General Provider Information

NPI Number	:	1922088327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAYTON D GABLE PT

Provider Business Mailing Address
First Line	:	7111 QUIET RIDGE WALK
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78250-3562
Country	:	US
Telephone Number	:	210-256-2240
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 GREELEY RD
Second Line	:	BUILDING # 4011, ROOM 101
City	:	FORT SAM HOUSTON
State	:	TX
Zip	:	78234-7536
Country	:	US
Telephone Number	:	210-295-9409
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	09/11/2025

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