Active NPI
Raymond Bryan Ruwaldt II, OTR
- Occupational Therapist
- Houston, TX
National Provider Identifier
1003413592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 110011
- Practice address
- 777 N Post Oak Rd
Houston, TX 77024-3800 - Phone
- (713) 956-0870
- NPI assigned
- Oct 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 110011 | TX | Primary |
Addresses
Primary practice location
777 N Post Oak Rd
Houston, TX 77024-3800
Mailing address
9210 N Allegro St
Houston, TX 77080-5520
Phone (713) 732-1670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110011 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1003413592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9210 N ALLEGRO ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770805520",
"telephone_number": "713-732-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 N POST OAK RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770243800",
"telephone_number": "713-956-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUWALDT",
"first_name": "RAYMOND",
"middle_name": "BRYAN",
"name_suffix": "II",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-07",
"last_updated": "2020-10-07",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.