Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric James Delossantos

Individual provider Physical Therapist · NPI 1548861461

Eric James Delossantos is a Physical Therapist in Private Practice in Live Oak, Texas. Qualified in 2019, 7 years ago. Practices with Mission Rehabilitation and Sports Medicine Limited Partnership, a 21-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

12413 Judson Rd Ste 260
Live Oak, TX 78233-3262
Phone: (210) 656-7953
Fax: (210) 656-7957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1327860 (TX)

Record details

NPI number1548861461
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 6, 2020
Last updated in NPPESNovember 6, 2020
Certification dateNovember 6, 2020
Mailing addressPo Box 1308, Coppell, TX 75019-1300

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mission Rehabilitation And Sports Medicine Limited Partnership — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Live Oak