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DR. DOUGLAS WILLIAM MONTALVO DPT
NPI 1992404669
Physical Therapist in San Antonio, TX

Active since March 01, 2023Accepts Medicare Assignment
3922 WISEMAN BLVD STE 502, SAN ANTONIO, TX 78251(210) 775-6655(210) 761-7291 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2023, Mar 1, 2023 (2 updates tracked since 2023).

About Dr. Douglas William Montalvo Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS WILLIAM MONTALVO DPT (NPI 1992404669) is an individual physical therapist in San Antonio, Texas, licensed in Texas (1373274) and active in the NPI registry since March 2023. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1992404669
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. DOUGLAS WILLIAM MONTALVOCredential: DPT
Location Address3922 WISEMAN BLVD STE 502San Antonio, TX 78251-1600
Mailing Address3922 Wiseman Blvd Ste 502San Antonio, TX 78251-1600 · (210) 775-6655 · Fax (210) 761-7291
Phone(210) 775-6655
Fax(210) 761-7291
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 1, 2023
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1992404669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in TX · 1373274
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3922 WISEMAN BLVD STE 502, San Antonio, TX 78251
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas William Montalvo Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567817638
PECOS Enrollment IDI20231010000475

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
810 services112 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
477 services98 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
65 services64 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
35 services15 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
20 services18 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
19 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
87%355 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS COPELAND DPT
Physical Therapist
3922 WISEMAN BLVD STE 502
SAN ANTONIO, TX 78251
Bexar County (210) 775-6655
BRYAN JOSEPH COLON PT, DPT, MBA
Physical Therapist
3922 WISEMAN BLVD STE 502
SAN ANTONIO, TX 78251
Bexar County (210) 775-6655
ALEXIS MARIE SEDGWICK
Physical Therapist
3922 WISEMAN BLVD STE 502
SAN ANTONIO, TX 78251
Bexar County (210) 775-6655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Montalvo's NPI number?

The NPI number for Douglas Montalvo is 1992404669. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Douglas Montalvo located?

Douglas Montalvo practices at 3922 Wiseman Blvd Ste 502, San Antonio, TX 78251. The listed phone number is (210) 775-6655.

What is Douglas Montalvo's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Douglas Montalvo enrolled in Medicare?

Yes. Douglas Montalvo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Douglas Montalvo accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company and 2 other insurers list Douglas Montalvo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Montalvo was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.