NPIMap

Organization Active NPI

Kenneth Ray Ruelas Jr

Doing business as Anchor Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1245666072
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KENNETH RAY RUELAS JR
Doing business as
Anchor Pediatric Therapy LLC
Practice address
4305 S Hulen St
Fort Worth, TX 76109-4917
Phone
(682) 564-5476
Fax
(682) 292-2930
NPI assigned
Sep 25, 2013
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Kenneth Ray Ruelas Jr.NPI 1942482872
Title
Ceo/Owner
Phone
(682) 553-7282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4305 S Hulen St
Fort Worth, TX 76109-4917

Mailing address

4305 S Hulen St
Fort Worth, TX 76109-4917
Phone (682) 564-5476

Other practice location 1

3009 Race St
Fort Worth, TX 76111-4117
Phone (682) 564-5476

Other names 1

  • Anchor Pediatric Therapy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2701 Airport Fwy
Ste A
Fort Worth, TX 76111
Phone (682) 564-5474

3009 Race St
Fort Worth, TX 76111
Phone (682) 564-5476

4305 S Hulen St
Ft Worth, TX 76109
Phone (817) 238-3023

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1245666072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094917",
            "telephone_number": "682-564-5476",
            "fax_number": "682-292-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094917",
            "telephone_number": "682-564-5476",
            "fax_number": "682-292-2930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3009 Race St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761114117",
            "country_code": "US",
            "telephone_number": "682-564-5476",
            "fax_number": "682-292-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNETH RAY RUELAS JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "RUELAS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "682-553-7282",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchor Pediatric Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.