Elisa G Vidaurri, P.T.
Physical Therapist in San Antonio, TX. Individual provider (NPI-1).
NPI number1013955434
StatusActive
Last updated in NPPESJun 5, 2013
Details
- NPI
- 1013955434
- Entity type
- Individual (NPI-1)
- Name
- Elisa G Vidaurri
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2006
- Last updated
- Jun 5, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1132140 | TX | Yes |
Practice location
415 Embassy Oaks202
San Antonio, TX 78216-2040
Phone 210-490-4738 · Fax 210-490-5231
Mailing address
415 Embassy Oaks202
San Antonio, TX 78216-2040
Phone 210-490-4738 · Fax 210-490-5231
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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