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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Jean Elaine Coleman
- Commonwealth of Virginia State Board of Health
- Barbara C Connell
- Christopher Lee Corker
- Alicia N. Cress
- Daniel Paul Curran
- Angela Marie Dinardi
- Jeffrey D Dodd
- Donald R, Murry Jr, DDS, PC
- Donsco Inc
All providers in Powhatan, VA · Recreation Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.