Functional Therapeutics

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111838 Issued in TX

Legal business name

FUNCTIONAL THERAPEUTICS

Practice address

616 Vida Santa St
Alamo, TX 78516

Phone

(956) 533-4390

Fax

(956) 587-0245

NPI assigned

Sep 5, 2012

Last updated

Sep 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juventino Ruiz Jr., SLPNPI 1710173471

Title

Owner

Phone

(956) 533-4390

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juventino Ruiz Jr., OTR

  • Occupational Therapist
  • McAllen, TX
  • NPI 1710173471
  NPD (past) Authorized official

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1235488354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 VIDA SANTA ST",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "78516",
            "telephone_number": "956-533-4390",
            "fax_number": "956-587-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 VIDA SANTA ST",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "78516",
            "telephone_number": "956-533-4390",
            "fax_number": "956-587-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JUVENTINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-533-4390",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo Luis Figueroa, D.D.S.
• Jasmine Flores
• Njemnu Leonard Fomuso, PHARMD
• Fresenius Medical Care - South Texas Kidney, LLC (Fresenius Medical Care Tri-City)
• Fun House Pediatric Therapy, LLC
• David G Garcia, PHARMD
• David Rodolfo Garcia, PA-C
• Enrique Garcia, RBT
• Erika Garcia, D.C
• Gabriela Lizbeth Garcia, RN

• Speech-Language Pathologist in Alamo, TX
• Providers in Alamo, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.