P Praxis·MD
● Active Type 1 · Individual

MR. Immanuel Karlo Galleta Medina, P.T.

Physical Therapist·San Antonio, TX· NPI 1770834665 · Enumerated 2012 · 13 years on NPI
Medina is 1 of 1221 physical therapist providers in San Antonio and 1 of 16582 in Texas.
NPI age
13 years
Enumerated 2012-10-02
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
CA, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-11-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 16582 active physical therapist providers in Texas.

NPI age
13 years
↑ 4 yr above median (9 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-10Enumerated in NPPES
2012 2026

Where they practice

Practice location
8758 Welles Edge Dr
San Antonio, TX 78240
📞 4084498150
Mailing address
8758 Welles Edge Dr
San Antonio, TX 782402115
📞 4084498150

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    CA license #299318 taxonomy 225100000X
  • Physical Therapist
    A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology,...
    TX license #1217753 taxonomy 2251X0800X

Identifiers

TypeValueNotes
01 (TX) 36289166 DMV
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 31 new physical therapist providers have been added in San Antonio in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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