Active NPI
Ricardo Rafael Zavaleta, OTRL
- Occupational Therapist
- Salisbury, NC
National Provider Identifier
1063545218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3169
- Practice address
- 710 Julian Rd
Salisbury, NC 28147-9079 - Phone
- (704) 636-5812
- Fax
- (704) 636-8373
- NPI assigned
- Mar 14, 2007
- Last updated
- Jul 8, 2007
- 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 | 3169 | NC | Primary |
Addresses
Primary practice location
710 Julian Rd
Salisbury, NC 28147-9079
Mailing address
208 Yachtsman's Point Drive
Lexington, NC 27292
Phone (704) 636-5812
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3169 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063545218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 YACHTSMAN'S POINT DRIVE",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "27292",
"telephone_number": "704-636-5812",
"fax_number": "704-636-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 JULIAN RD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281479079",
"telephone_number": "704-636-5812",
"fax_number": "704-636-8373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVALETA",
"first_name": "RICARDO",
"middle_name": "RAFAEL",
"name_prefix": "Mr.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "3169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.