Provider Demographics
NPI:1013200864
Name:ONE BITE AT A TIME LLC
Entity Type:Organization
Organization Name:ONE BITE AT A TIME LLC
Other - Org Name:REAL PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIRNSFATHER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-887-3542
Mailing Address - Street 1:PO BOX 690327
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78269-0327
Mailing Address - Country:US
Mailing Address - Phone:210-421-7336
Mailing Address - Fax:
Practice Address - Street 1:4910 GOLDEN QUAIL
Practice Address - Street 2:SUITE # 140
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1540
Practice Address - Country:US
Practice Address - Phone:210-421-7336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-25
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11628832251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty