MEDICARE: METHOD WELLNESS AND PHYSICAL THERAPY

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1518675370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METHOD WELLNESS AND PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	4726 SHAVANO OAK STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-4029
Country	:	US
Telephone Number	:	210-526-2428
Fax Number	:	210-817-8684

Provider Business Practice Location Address
First Line	:	4726 SHAVANO OAK STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-4029
Country	:	US
Telephone Number	:	210-526-2428
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	SARAH RENEE EADS
Credential	:	PT
Telephone Number	:	512-720-2246

Provider Enumeration Date	:	11/10/2022
Last Update Date	:	11/10/2022

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