Healthcare Provider Details

I. General information

NPI: 1861880312
Provider Name (Legal Business Name): MOMENTUM PHYSICAL & SPORTS REHABILITATION LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2015
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7003 S NEW BRAUNFELS AVE SUITE 114
SAN ANTONIO TX
78223-4588
US

IV. Provider business mailing address

12952 BANDERA RD STE 107
HELOTES TX
78023-4733
US

V. Phone/Fax

Practice location:
  • Phone: 210-892-0359
  • Fax: 210-253-9535
Mailing address:
  • Phone: 210-372-9600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RICHARD BINSTEIN
Title or Position: VP, AUTHORIZED OFFICIAL
Credential:
Phone: 713-297-7000