Individual provider Active NPI

Ruben Pierce Fonseca

  • Orthopedic Physical Therapist
  • Houston, TX
National Provider Identifier
1427793322
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1323450 Issued in TX
Practice address
2085 Westheimer Rd
Houston, TX 77098-1539
Phone
(713) 526-6143
NPI assigned
May 4, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1323450 TX Primary

Addresses

Primary practice location

2085 Westheimer Rd
Houston, TX 77098-1539

Mailing address

2085 Westheimer Rd
Houston, TX 77098-1539
Phone (713) 526-6143

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://memorialhermann.org/doctors/advanced-practice-provider/ruben-fonseca Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723000980 TX Practitioner - Physical Therapist in Private Practice 2769998012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians

Practice addresses (Care Compare)

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1323450TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Luna Care Physical Therapy LLC Orthopedic CurrentSince Jul 14, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Jul 14, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Jul 14, 2025 Accepting new patients
Memorial Hermann Health System PastSince May 8, 2022 Accepting new patients

Locations

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 4

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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1427793322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981539",
            "telephone_number": "713-526-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981539",
            "telephone_number": "713-526-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "RUBEN",
        "middle_name": "PIERCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1323450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://memorialhermann.org/doctors/advanced-practice-provider/ruben-fonseca",
            "affiliation": "N",
            "endpointDescription": "Webpage",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Webpage",
            "address_1": "2085 Westheimer Rd",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770981539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.