MEDICARE: FORZA PHYSIOTHERAPY AND WELLNESS, LLC

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	261QP2000X	Physical Therapy Clinic/Center

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

General Provider Information

NPI Number	:	1518357946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORZA PHYSIOTHERAPY AND WELLNESS, LLC

Provider Business Mailing Address
First Line	:	522 ROBLE REAL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-3238
Country	:	US
Telephone Number	:	210-495-0023
Fax Number	:

Provider Business Practice Location Address
First Line	:	18822 STONE OAK PKWY STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4171
Country	:	US
Telephone Number	:	210-495-0023
Fax Number	:	210-495-0617

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARLOS E OROZCO
Credential	:	PT, DPT
Telephone Number	:	210-577-1150

Provider Enumeration Date	:	01/23/2015
Last Update Date	:	12/31/2020

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