Organization Active NPI

Power Performance and Rehabilitation

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1114782133
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
POWER PERFORMANCE AND REHABILITATION
Practice address
11911 Greenville Ave Apt 2314
Dallas, TX 75243-3671
Phone
(915) 920-2360
NPI assigned
Feb 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Patricio Manuel Ruvalcaba, DPT
Title
Owner
Phone
(915) 920-2360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

11911 Greenville Ave Apt 2314
Dallas, TX 75243-3671

Mailing address

11911 Greenville Ave Apt 2314
Dallas, TX 75243-3671
Phone (915) 920-2360

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1114782133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 GREENVILLE AVE APT 2314",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433671",
            "telephone_number": "915-920-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 GREENVILLE AVE APT 2314",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433671",
            "telephone_number": "915-920-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER PERFORMANCE AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "RUVALCABA",
        "authorized_official_first_name": "PATRICIO",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-920-2360",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.