Active NPI
Roger Charles Rice, O.T.R.
- Occupational Therapist
- Belton, TX
National Provider Identifier
1538340781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 106916
- Practice address
- 1103 Mary Jane St
Belton, TX 76513-3731 - Phone
- (254) 939-9327
- Fax
- (254) 939-9730
- NPI assigned
- Nov 15, 2007
- Last updated
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 106916 | TX | Primary |
Addresses
Primary practice location
1103 Mary Jane St
Belton, TX 76513-3731
Mailing address
417 Randle Dr
Waco, TX 76712-3343
Phone (254) 741-1476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106916 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Therapy Specialties LLC | Occupational Therapist | Current | Accepting new patients |
Locations
4900 Sanger Ave
Waco, TX 76710
Phone (254) 644-2423
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1538340781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 RANDLE DR",
"city": "WACO",
"state": "TX",
"postal_code": "767123343",
"telephone_number": "254-741-1476",
"fax_number": "254-741-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 MARY JANE ST",
"city": "BELTON",
"state": "TX",
"postal_code": "765133731",
"telephone_number": "254-939-9327",
"fax_number": "254-939-9730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "ROGER",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "O.T.R.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "106916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.