NPI Code Details Logo

NPI 1770240533

NPI 1770240533 : BC-PTC : SAN ANTONIO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1770240533
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BC-PTC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/29/2021
-----------------------------------------------------
    Last Update Date     |    09/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    14207 HIGGINS RD 
-----------------------------------------------------
    City                 |    SAN ANTONIO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78217-1252
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    210-826-4492
-----------------------------------------------------
    Fax                  |    210-826-7887
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    14207 HIGGINS RD 
-----------------------------------------------------
    City                 |    SAN ANTONIO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78217-1252
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    210-826-4492
-----------------------------------------------------
    Fax                  |    210-826-7887
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CFO
-----------------------------------------------------
    Name                 |     DEE-ANN  CALDERON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    210-826-4492
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    261QR0400X
-----------------------------------------------------
    Taxonomy Name        |    Rehabilitation Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.