1619188232 NPI number — PROF. ANN HAMILTON NEWSTEAD-JOHNSEY PT, MS, GCS, NCS

Table of content: (NPI 1295375574)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619188232 NPI number — PROF. ANN HAMILTON NEWSTEAD-JOHNSEY PT, MS, GCS, NCS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NEWSTEAD-JOHNSEY
Provider First Name:
ANN
Provider Middle Name:
HAMILTON
Provider Name Prefix Text:
PROF.
Provider Name Suffix Text:
Provider Credential Text:
PT, MS, GCS, NCS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NEWSTEAD
Provider Other First Name:
ANN
Provider Other Middle Name:
HAMILTON
Provider Other Name Prefix Text:
PROF.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT, MS, GCS, NCS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1619188232
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9714 FORTUNE RIDGE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CONVERSE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78109-2702
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-650-4876
Provider Business Mailing Address Fax Number:
210-567-8774

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7703 FLOYD CURL DR
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PHYSICAL THERAPY MSC 6247
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229-3901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-567-8766
Provider Business Practice Location Address Fax Number:
210-567-8774
Provider Enumeration Date:
05/25/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  02914586 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)