Individual provider Active NPI

Ruben Meza Sr., PTA

  • Physical Therapy Assistant
  • Karnes City, TX
National Provider Identifier
1053893404
Registry record updated Sep 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
207323 Issued in TX
Practice address
696 FM 99,
Karnes City, TX 78118
Phone
(361) 947-3367
NPI assigned
Sep 2, 2018
Last updated
Sep 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 207323 TX Primary

Addresses

Primary practice location

696 FM 99,
Karnes City, TX 78118

Mailing address

PO Box 203
Skidmore, TX 78389
Phone (361) 947-3367

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
207323TXMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535846400000",
    "number": "1053893404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "SKIDMORE",
            "state": "TX",
            "postal_code": "78389",
            "telephone_number": "361-947-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 FM 99,",
            "city": "KARNES CITY",
            "state": "TX",
            "postal_code": "78118",
            "telephone_number": "361-947-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "RUBEN",
        "name_suffix": "Sr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-02",
        "last_updated": "2018-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "207323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Karnes City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.