Ricardo Llanes

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

214308 Issued in TX

Practice address

1638 VZ CR 1803
Grand Saline, TX 75140

Phone

(903) 962-7595

NPI assigned

Aug 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Richard Llanes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1295216257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 VZ COUNTY ROAD 1803",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751403494",
            "telephone_number": "903-962-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 VZ CR 1803",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "75140",
            "telephone_number": "903-962-7595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Vernon Dr",
            "address_purpose": "LOCATION",
            "city": "Fate",
            "state": "TX",
            "postal_code": "750876741",
            "country_code": "US",
            "telephone_number": "469-371-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLANES",
        "first_name": "RICARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "LLANES",
            "credential": "COTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapy Assistant in Grand Saline, TX
• Providers in Grand Saline, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.