Provider Demographics
NPI:1942553961
Name:OEHMKE, ANITA MARIE (PT)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:MARIE
Last Name:OEHMKE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:OEHMKE
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1045 CENTRAL PARKWAY NORTH
Mailing Address - Street 2:SUITE #200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-5024
Mailing Address - Country:US
Mailing Address - Phone:210-541-4500
Mailing Address - Fax:
Practice Address - Street 1:5000 BAPTIST HEALTH DR.
Practice Address - Street 2:#102
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154
Practice Address - Country:US
Practice Address - Phone:210-568-0511
Practice Address - Fax:210-568-0513
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1042513225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX263685YL66Medicare PIN