TIMOTHY LOUIS KUDLA (NPI# 1760958615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760958615 |
| Entity Type | Individual |
| Full Name | TIMOTHY LOUIS KUDLA |
| Credential | PT, DPT |
| Practice Address |
288 W Bitters Rd San Antonio TX 78216-1665 |
| Practice Telephone | 2102979906 |
| Mailing Telephone | 2102979906 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
288 W BITTERS RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-1665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487798831 | Ming Hua Lee | Physical Therapist | 288 W Bitters Rd, San Antonio, TX 78216-1665 | 2007-02-19 |
| 1972149409 | Michelle L Henricksen | Physical Therapist | 288 W Bitters Rd, San Antonio, TX 78216-1665 | 2019-11-19 |
| 1396397956 | John Joseph Benavidez | Physical Therapist | 288 W Bitters Rd, San Antonio, TX 78216-1665 | 2019-07-14 |
| 1265909840 | Brooke Briones | Physical Therapist | 288 W Bitters Rd, San Antonio, TX 78216-1665 | 2018-10-31 |
| 1225518467 | Raymund Hernando | Physical Therapist | 288 W Bitters Rd, San Antonio, TX 78216-1665 | 2018-08-17 |
| 1710404231 | Catharine Parker | Physical Therapist | 288 W Bitters Rd, San Antonio, TX 78216-1665 | 2017-08-25 |
| 1629521422 | Claire Diemer | Physical Therapist | 288 W Bitters Rd, San Antonio, TX 78216-1665 | 2016-07-27 |
| 1265883185 | Melissa Ann Luke | Physical Therapist | 288 W Bitters Rd, San Antonio, TX 78216-1665 | 2016-06-22 |
| 1912365511 | Jacob Stratton | Physical Therapist | 288 W Bitters Rd, San Antonio, TX 78216-1665 | 2016-02-10 |
| 1063819274 | Shalena Crawford | Physical Therapist | 288 W Bitters Rd, San Antonio, TX 78216-1665 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871819789 | Zenaida Campbell | Physical Therapist | 11212 State Highway 151 Ste 150, San Antonio, TX 78251-4505 | 2010-04-16 |
| 1932436227 | Sports Medicine Associates of San Antonio | Physical Therapist | 21 Spurs Ln Ste 340, San Antonio, TX 78240-1680 | 2009-11-09 |
| 1306082292 | Dario Fernandez | Physical Therapist | 302 E Josephine St Ste 1101, San Antonio, TX 78215 | 2008-12-23 |
| 1427214527 | Melissa Lynn Demasco | Physical Therapist | 15502 Huebner Rd, Suite 113, San Antonio, TX 78248-0984 | 2008-07-29 |
| 1952366320 | Joseph D Alejos | Physical Therapist | 9643 Huebner Rd, Suite 102, San Antonio, TX 78240-1751 | 2006-04-19 |
| 1639696669 | Matthew Ray Hernandez | Physical Therapist | 21 Spurs Ln Ste 340, San Antonio, TX 78240-1680 | 2017-08-30 |
| 1124404751 | Tomas E Flores | Physical Therapist | 11212 State Highway 151, Suite 150, San Antonio, TX 78251-4498 | 2015-08-05 |
| 1669850699 | Cuong Nguyen | Physical Therapist | 300 E Sonterra Blvd, 201, San Antonio, TX 78258-3971 | 2015-05-11 |
| 1477930840 | Gudrun Morgan | Physical Therapist | 7555 Nw Loop 410 Ste 114, San Antonio, TX 78245-2354 | 2015-05-05 |
| 1477953495 | Antonio Flores | Physical Therapist | 11212 State Highway 151 Ste 150, San Antonio, TX 78251-4505 | 2014-08-27 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on TIMOTHY LOUIS KUDLA.
| 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.