Active NPI
Raphael Ricardo Cudera
- Physical Therapist
- Lampasas, TX
National Provider Identifier
1275013377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1215676
- Practice address
- 901 Central Texas Expy
Lampasas, TX 76550 - Phone
- (512) 556-8827
- NPI assigned
- Aug 17, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1215676 | TX | Primary |
Addresses
Primary practice location
901 Central Texas Expy
Lampasas, TX 76550
Mailing address
901 Central Texas Expy
Lampasas, TX 76550-3382
Other practice location 1
901 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-8827
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 |
|---|---|---|---|
| 1215676 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1275013377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 CENTRAL TEXAS EXPY",
"city": "LAMPASAS",
"state": "TX",
"postal_code": "765503382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CENTRAL TEXAS EXPY",
"city": "LAMPASAS",
"state": "TX",
"postal_code": "76550",
"telephone_number": "512-556-8827"
}
],
"practiceLocations": [
{
"address_1": "901 Central Texas Expy",
"address_purpose": "LOCATION",
"city": "Lampasas",
"state": "TX",
"postal_code": "76550",
"country_code": "US",
"telephone_number": "512-556-8827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUDERA",
"first_name": "RAPHAEL RICARDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-17",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1215676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lampasas, TX
- Central Texas Serenity Caregivers LLC
- Ashley D Chamberland, M.D.
- Justin Chambers, PTA
- Coryell County Memorial Hospital Authority (Regal Healthcare Residence)
- Michael Corey Cricchio, APRN
- Sharon Cutbirth, LPC
- Johnna Stotts Davis, MSN, FNP-BC
- Danae De Guelle
- Janice Williams Denson, LCSW
- Dewitt Medical District (Lampasas Nursing and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.