Individual provider Active NPI

Rubie Yolanda Penigar-Taylor

  • Occupational Therapist
  • Arlington, TX
National Provider Identifier
1346455656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
101198 Issued in TX
Practice address
5201 S Cooper St
#111
Arlington, TX 76017-5933
Phone
(817) 467-9951
Fax
(817) 468-9733
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 101198 TX Primary

Addresses

Primary practice location

5201 S Cooper St
#111
Arlington, TX 76017-5933

Mailing address

PO Box 601151
Dallas, TX 75360-1151
Phone (817) 467-9951

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
101198TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Neighborhood Doctor Past Accepting new patients
Ibg Healthcare Services LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346455656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601151",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753601151",
            "telephone_number": "817-467-9951",
            "fax_number": "817-468-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 S COOPER ST",
            "address_2": "#111",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175933",
            "telephone_number": "817-467-9951",
            "fax_number": "817-468-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENIGAR-TAYLOR",
        "first_name": "RUBIE",
        "middle_name": "YOLANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "101198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.