Active NPI
Ruhama Bestavros, OTR
- Occupational Therapist
- San Antonio, TX
National Provider Identifier
1558790642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 115578
- Practice address
- 9910 Huebner Rd
Suite 200
San Antonio, TX 78240-1342 - Phone
- (210) 691-0039
- Fax
- (210) 699-0136
- NPI assigned
- Nov 8, 2013
- Sex
- Female
- 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 | 115578 | TX | Primary |
Addresses
Primary practice location
9910 Huebner Rd
Suite 200
San Antonio, TX 78240-1342
Mailing address
1495 NW Gilman Blvd
Suite 4
Issaquah, WA 98027
Phone (210) 691-0039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115578 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Care Rehab Services | Past | Accepting new patients | |
| Team Care Rehab Services Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- San Antonio, TX
- NPI 1477988491
-
- Rehabilitation Clinic/Center
- San Antonio, TX
- NPI 1457392417
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1558790642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 NW GILMAN BLVD",
"address_2": "SUITE 4",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98027",
"telephone_number": "210-691-0039",
"fax_number": "210-699-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9910 HUEBNER RD",
"address_2": "SUITE 200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401342",
"telephone_number": "210-691-0039",
"fax_number": "210-699-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESTAVROS",
"first_name": "RUHAMA",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "115578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.