SOPHIA WENDEBORN II (NPI# 1427441310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427441310 |
| Entity Type | Individual |
| Full Name | SOPHIA WENDEBORN II |
| Credential | PTA |
| Practice Address |
1111 Se Military Dr San Antonio TX 78214-2801 |
| Practice Telephone | 2109244475 |
| Practice Fax Number | 2109249251 |
| Mailing Telephone | 2109244475 |
| Mailing Fax Number | 2109249251 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2027662 | TX | Ambulatory Health Care Facilities |
| Street Address |
1111 SE MILITARY DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78214-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619313293 | Choon Chan | Nurse Practitioner | 1111 Se Military Dr, San Antonio, TX 78214-2801 | 2013-05-22 |
| 1578928370 | Tmc Provider Group Pllc | Family Medicine | 1111 Se Military Dr, San Antonio, TX 78214-2801 | 2015-12-21 |
| 1316330707 | Prosports Rehab | Clinic/Center | 1111 Se Military Dr, San Antonio, TX 78214-2801 | 2015-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104380245 | Mission Event Senior Center LLC | Clinic/Center | 5614 South Flores Street, San Antonio, TX 78214 | 2019-01-23 |
| 1396239497 | Allen Ray Williams II | Chiropractor | 6000 Farm To Market 3009, Ste 200, San Antonio, TX 78214 | 2018-06-21 |
| 1326482027 | Rolando Gonzalez | Specialist/Technologist, Other | 1131 91st St, San Antonio, TX 78214 | 2013-04-24 |
| 1235425463 | Roberto Issac Cortez | Dentist | 3454 Roosevelt Avenue, San Antonio, TX 78214 | 2011-06-27 |
| 1104110501 | Mission Plaza Dental Pllc | Dentist | 3454 Roosevelt Ave., San Antonio, TX 78214 | 2011-06-02 |
| 1982904561 | Amir Ahmed | Pharmacist | 119 Huizar Street, Cyctic Fibrosis Services, San Antonio, TX 78214 | 2010-10-28 |
| 1962734160 | J. Andrew Jackson, D.d.s. Ltd., LLP | Dentist | 600 Division, Suite E., San Antonio, TX 78214 | 2010-02-12 |
| 1881805653 | Bruce Lee Vetters | Dentist | 6619 S Flores, San Antonio, TX 78214 | 2007-05-24 |
| 1053403147 | John D Cochran Dds Inc | Dentist | 5713 South Flores, San Antonio, TX 78214 | 2006-09-28 |
| 1306945415 | Idalia Ivanna Benavides | Specialist | 161 Tommins Ave., San Antonio, TX 78214 | 2006-09-22 |
| Find all providers in zip 78214 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739721 | Agilitas Usa, Inc | Clinic/Center | 2314 Se Military Dr Ste 110, San Antonio, TX 78223-3527 | 2020-01-09 |
| 1043878523 | Outperformance Physical Therapy, LLC | Clinic/Center | 23535 W Interstate 10 Ste 1102, San Antonio, TX 78257-1668 | 2019-05-30 |
| 1770042152 | The San Antonio Orthopaedic Group, LLP | Clinic/Center | 1422 E Grayson St Ste 103, San Antonio, TX 78208-1427 | 2019-03-15 |
| 1215402888 | Kp3 Function, Pllc | Clinic/Center | 2222 Breezewood Dr, San Antonio, TX 78209-3902 | 2018-10-10 |
| 1154821551 | Alante Physical Therapy and Wellness | Clinic/Center | 5123 N Loop 1604 W Ste 100, San Antonio, TX 78249-1353 | 2018-02-13 |
| 1679002869 | Agilitas Usa, Inc | Clinic/Center | 9410 State Hwy 151, Suite 104, San Antonio, TX 78251-9997 | 2017-06-09 |
| 1114452851 | Agilitas Usa Inc | Clinic/Center | 10919 Culebra Rd Ste 143, San Antonio, TX 78253-4502 | 2017-05-01 |
| 1588199723 | Coressentials Physical Therapy and Pelvic Wellness | Clinic/Center | 20330 Huebner Rd Ste 102, San Antonio, TX 78258-3509 | 2017-04-25 |
| 1841662152 | Stratton Hogan Clinics, Inc. | Clinic/Center | 11919 Culebra Rd Bldg 1, Suite 101, San Antonio, TX 78253-2102 | 2015-10-26 |
| 1104103852 | Foundation Physical Therapy, Pllc | Clinic/Center | 23127 Ih 10 West, Suite 203, San Antonio, TX 78257-2506 | 2011-11-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78214 |
Please comment or provide details below to improve the information on SOPHIA WENDEBORN II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.