Felix Cruz

Individual provider Active NPI Recreation Therapist · Powhatan, VA

NPI 1447845839 · NPPES record last updated Mar 8, 2021

Key facts

NPI
1447845839
Entity type
Individual (NPI type 1)
Primary specialty
Recreation Therapist 225800000X
Practice address
6324 Walnut Tree Dr
Powhatan, VA 23139-6331
Phone
(484) 358-8983
NPI assigned
Mar 8, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X Yes

Addresses

Primary practice location

6324 Walnut Tree Dr
Powhatan, VA 23139-6331

Mailing address

6324 Walnut Tree Dr
Powhatan, VA 23139-6331
Phone (484) 358-8983

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 8, 2021.

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1447845839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 WALNUT TREE DR",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231396331",
            "telephone_number": "484-358-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 WALNUT TREE DR",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231396331",
            "telephone_number": "484-358-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "FELIX",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powhatan, VA

All providers in Powhatan, VA · Recreation Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.