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NPI Code Detail

MEDICARE: GRANT SILVA PT, DPT

MEDICARE: GRANT SILVA PT, DPT
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
1225100000XPhysical Therapist302861CA
2225100000XPhysical Therapist1403791TX

General Provider Information

NPI Number : 1902528060
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRANT SILVA PT, DPT
Provider Business Mailing Address
First Line : 11219 POTRANCO RD STE A-110
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-5848
Country : US
Telephone Number : 210-679-6900
Fax Number : 210-679-6904
Provider Business Practice Location Address
First Line : 11219 POTRANCO RD STE A-110
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-5848
Country : US
Telephone Number : 210-679-6900
Fax Number : 210-679-6904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2022
Last Update Date : 12/18/2025

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