Ricardo G Altahif Jr., OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

117368 Issued in TX

Practice address

100 Hillcrest Medical Blvd
Waco, TX 76712-8897

Phone

(956) 735-3496

NPI assigned

Jul 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Creighton University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Therapy Group LLCGroup PAC ID 0648636597, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Active Therapy Group LLC

  • Physical Therapy Clinic/Center
  • Waco, TX
  • NPI 1326745647

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1073166559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 COLUMBUS AVE APT C",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011052",
            "telephone_number": "956-735-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HILLCREST MEDICAL BLVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128897",
            "telephone_number": "956-735-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAHIF",
        "first_name": "RICARDO",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie Almand, M.S., LPC-A
• Austin A Almeida
• Rewa Almughawish
• Stephanie Alonso
• Katherine Elizabeth Horton Altahif, MD
• Rolando Alvarado, MD
• Alyce Danielle Alven, O.D
• Alzcare Waco, LLC
• Nnewueze Stella Amaechi, M.D
• Amanda Ibanez Counseling

• Occupational Therapist in Waco, TX
• Providers in Waco, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.