PAVLICH, ANTHONY (DPT, PT)

Provider Demographics

• NPI: 1851938856
• Name: PAVLICH, ANTHONY (DPT, PT)
• Entity Type: Individual
• Prefix: DR
• First Name: ANTHONY
• Last Name: PAVLICH
• Gender: M
• Credentials: DPT, PT
• Mailing Address - Street 1: PO BOX 700688
• 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 - 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

Provider Licenses

State	License ID	Taxonomies
TX	1341405	225100000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MN	12466	Other	PHYSICAL THERAPY LICENSE
IA	CP004296T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
OK	CP004298T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
UT	CP004299T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
WA	CP004434T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
AR	CP004598T	Other	PHYSICAL THERAPY COMPACT PRIVILEDGES
GA	CP004610T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
AZ	CP005159T	Other	PHYSICAL THERAPY COMPACT PRIVILEDGES
OH	CP008512T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
DC	PT200001264	Other	PHYSICAL THERAPY LICENSE
MT	PTP-PT-LIC-19771	Other	PHYSICAL THERAPY LICENSE
VT	040.0134439	Other	PHYSICAL THERAPY LICENSE
AK	172053	Other	PHYSICAL THERAPY LICENSE
MI	5501021608	Other	PHYSICAL THERAPY LICENSE
NE	CP004297T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
NC	CP004382T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
SD	CP015887T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
WY	PT-2125	Other	PHYSICAL THERAPY LICENSE
HI	PT-5508-0	Other	PHYSICAL THERAPY LICENSE
NM	PT6048	Other	PHYSICAL THERAPY LICENSE
IN	TH0000152	Other	PHYSICAL THERAPY LICENSE
OR	CP004436T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
TN	CP004493T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
RI	PT03441	Other	PHYSICAL THERAPY LICENSE
ME	PT6168	Other	PHYSICAL THERAPY LICENSE
IN	05014206A	Other	PHYSICAL THERAPY LICENSE
MA	24473	Other	PHYSICAL THERAPY LICENSE
CA	300628	Other	PHYSICAL THERAPY LICENSE
NJ	40QA02077700	Other	PHYSICAL THERAPY LICENSE
WV	CP004301T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
MD	CP010973T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
AL	PTH10317	Other	PHYSICAL THERAPY LICENSE
SC	10780	Other	PHYSICAL THERAPY LICENSE
TX	1341405	Other	PHYSICAL THERPAY LICENSE
MO	CP004599T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
ID	PT-7534	Other	PHYSICAL THERAPY LICENSE
CT	13226	Other	PHYSICAL THERAPY LICENSE
NV	4799	Other	PHYSICAL THERAPY LICENSE
CO	CP004295T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
VA	CP004300T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
ND	CP004432T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
KY	CP004438T	Other	PHYSICAL THERAPY COMPACT LICENSE
MD	29062	Other	PHYSICAL THERAPY LICENSE
NH	CP004433T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
LA	CP004437T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
WI	CP017059T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
NY	047332-01	Other	PHYSICAL THERAPY LICENSE
TN	13770	Other	PHYSICAL THERAPY LICENSE
MS	CP004435T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES
DE	CP008419T	Other	PHYSICAL THERAPY COMPACT PRIVILEGES