Healthcare Provider Details

I. General information

NPI: 1124756648
Provider Name (Legal Business Name): QUALITY THERAPY & REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2022
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 HERITAGE ST STE 220
SAN ANTONIO TX
78216-3924
US

IV. Provider business mailing address

1418 E BITTERS RD STE 1
SAN ANTONIO TX
78216-3096
US

V. Phone/Fax

Practice location:
  • Phone: 210-960-4665
  • Fax:
Mailing address:
  • Phone: 210-725-4646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JAMES JOSEPH CASEY
Title or Position: CEO/PRESIDENT
Credential: PT
Phone: 210-896-9128