Individual provider Active NPI

Earl Warren Ryburn Jr., COTA

  • Rehabilitation Hospital
  • San Antonio, TX
National Provider Identifier
1285025650
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
208800 Issued in TX
Practice address
7555 NW Loop 410
#114
San Antonio, TX 78245-2353
Phone
(210) 325-7330
NPI assigned
Feb 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 208800 TX Primary
Physical Therapy Clinic/Center 261QP2000X 208800 TX
Rehabilitation Hospital Unit 273Y00000X 208800 TX

Addresses

Primary practice location

7555 NW Loop 410
#114
San Antonio, TX 78245-2353

Mailing address

14500 Blanco Rd
Apt 1324
San Antonio, TX 78216-7858
Phone (210) 325-7330

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

LicenseStateTypeSpecialty
208800TXMDRehabilitation Hospital Unit

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1285025650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 BLANCO RD",
            "address_2": "APT 1324",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167858",
            "telephone_number": "210-325-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 NW LOOP 410",
            "address_2": "#114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452353",
            "telephone_number": "210-325-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBURN",
        "first_name": "EARL",
        "middle_name": "WARREN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "TX",
            "license": "208800",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "208800",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "208800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.