Provider Demographics
NPI:1851938856
Name:PAVLICH, ANTHONY (DPT, PT)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:PAVLICH
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 700688
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78270-0688
Mailing Address - Country:US
Mailing Address - Phone:800-404-6050
Mailing Address - Fax:866-313-3397
Practice Address - Street 1:111 TOWER DR BLDG 1
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3625
Practice Address - Country:US
Practice Address - Phone:800-404-6050
Practice Address - Fax:866-313-3397
Is Sole Proprietor?:No
Enumeration Date:2019-12-09
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1341405225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN12466OtherPHYSICAL THERAPY LICENSE
IACP004296TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
OKCP004298TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
UTCP004299TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
WACP004434TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
ARCP004598TOtherPHYSICAL THERAPY COMPACT PRIVILEDGES
GACP004610TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
AZCP005159TOtherPHYSICAL THERAPY COMPACT PRIVILEDGES
OHCP008512TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
DCPT200001264OtherPHYSICAL THERAPY LICENSE
MTPTP-PT-LIC-19771OtherPHYSICAL THERAPY LICENSE
VT040.0134439OtherPHYSICAL THERAPY LICENSE
AK172053OtherPHYSICAL THERAPY LICENSE
MI5501021608OtherPHYSICAL THERAPY LICENSE
NECP004297TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
NCCP004382TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
SDCP015887TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
WYPT-2125OtherPHYSICAL THERAPY LICENSE
HIPT-5508-0OtherPHYSICAL THERAPY LICENSE
NMPT6048OtherPHYSICAL THERAPY LICENSE
INTH0000152OtherPHYSICAL THERAPY LICENSE
ORCP004436TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
TNCP004493TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
RIPT03441OtherPHYSICAL THERAPY LICENSE
MEPT6168OtherPHYSICAL THERAPY LICENSE
IN05014206AOtherPHYSICAL THERAPY LICENSE
MA24473OtherPHYSICAL THERAPY LICENSE
CA300628OtherPHYSICAL THERAPY LICENSE
NJ40QA02077700OtherPHYSICAL THERAPY LICENSE
WVCP004301TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
MDCP010973TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
ALPTH10317OtherPHYSICAL THERAPY LICENSE
SC10780OtherPHYSICAL THERAPY LICENSE
TX1341405OtherPHYSICAL THERPAY LICENSE
MOCP004599TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
IDPT-7534OtherPHYSICAL THERAPY LICENSE
CT13226OtherPHYSICAL THERAPY LICENSE
NV4799OtherPHYSICAL THERAPY LICENSE
COCP004295TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
VACP004300TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
NDCP004432TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
KYCP004438TOtherPHYSICAL THERAPY COMPACT LICENSE
MD29062OtherPHYSICAL THERAPY LICENSE
NHCP004433TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
LACP004437TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
WICP017059TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
NY047332-01OtherPHYSICAL THERAPY LICENSE
TN13770OtherPHYSICAL THERAPY LICENSE
MSCP004435TOtherPHYSICAL THERAPY COMPACT PRIVILEGES
DECP008419TOtherPHYSICAL THERAPY COMPACT PRIVILEGES