MEDICARE: CATALYST PHYSICAL THERAPY, P.L.L.C

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	2251X0800X	Orthopedic Physical Therapist	660970000	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	9312107	OTHER	TX	AETNA
3	0077QA	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1093917833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATALYST PHYSICAL THERAPY, P.L.L.C

Provider Business Mailing Address
First Line	:	2210 NW MILITARY HWY
Second Line	:	SUTIE 101
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-1815
Country	:	US
Telephone Number	:	210-308-5558
Fax Number	:	210-308-5557

Provider Business Practice Location Address
First Line	:	2210 NW MILITARY HWY
Second Line	:	SUTIE 101
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-1815
Country	:	US
Telephone Number	:	210-308-5558
Fax Number	:	210-308-5557

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	MR. JORGE GUERRERO
Credential	:	PT
Telephone Number	:	210-308-5558

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	06/03/2008

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Directions to “CATALYST PHYSICAL THERAPY, P.L.L.C ” Practice Location

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