Ramonjon Custodio, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1341750 Issued in TX

Practice address

511 Northridge Dr
Edinburg, TX 78539-6138

Phone

(309) 373-4291

NPI assigned

Mar 10, 2021

Last updated

Mar 10, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Xcell Orthopaedics Institute of Sports Performance & Rehab

  • Physical Therapist
  • McAllen, TX
  • NPI 1851759955
  NPD (past)

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1467037671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 NORTHRIDGE DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396138",
            "telephone_number": "309-373-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 NORTHRIDGE DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396138",
            "telephone_number": "309-373-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTODIO",
        "first_name": "RAMONJON",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1341750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Cuellar, ASLP
• Sarah Elizabeth Cuellar, APRN-CNP
• Marisa Abigail Cuevas, RD, LD
• Amy Cummings, OT
• Jaime Curts
• CVS Pharmacy Inc (CVS Pharmacy #10405)
• CVS Pharmacy, Inc. (CVS Pharmacy #00248)
• Cynthia L. Ramirez (Cynthia L. Ramirez dba Mi Pueblito Adult Day Care)
• Cynthia M Salinas MD PA (South Texas Advanced Wound Care Specialists)
• Jacqueline Marie D'Arrigo, M.S., LPC

• Physical Therapist in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.