Provider Demographics
NPI:1083595425
Name:ESPINOZA, CEASAR DANIEL (DPT)
Entity type:Individual
Prefix:
First Name:CEASAR
Middle Name:DANIEL
Last Name:ESPINOZA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14100 RANCH ROAD 12 UNIT 100
Mailing Address - Street 2:
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676-0019
Mailing Address - Country:US
Mailing Address - Phone:512-847-3300
Mailing Address - Fax:512-847-3314
Practice Address - Street 1:350 STAGECOACH TRL STE 100
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-5493
Practice Address - Country:US
Practice Address - Phone:512-886-3701
Practice Address - Fax:512-886-3702
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1407456225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty