Healthcare Provider Details

I. General information

NPI: 1770240533
Provider Name (Legal Business Name): BC-PTC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14207 HIGGINS RD
SAN ANTONIO TX
78217-1252
US

IV. Provider business mailing address

14207 HIGGINS RD
SAN ANTONIO TX
78217-1252
US

V. Phone/Fax

Practice location:
  • Phone: 210-826-4492
  • Fax: 210-826-7887
Mailing address:
  • Phone: 210-826-4492
  • Fax: 210-826-7887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEE-ANN CALDERON
Title or Position: CFO
Credential:
Phone: 210-826-4492