Individual provider Active NPI

Ramiah Joseph Tabale, PTA

  • Physical Therapy Assistant
  • Corpus Christi, TX
National Provider Identifier
1588323570
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
216096 Issued in TX
Practice address
3201 Airline Rd
Corpus Christi, TX 78414-3570
Phone
(361) 334-1033
NPI assigned
Dec 17, 2021
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 216096 TX Primary

Addresses

Primary practice location

3201 Airline Rd
Corpus Christi, TX 78414-3570

Mailing address

4510 Grand Lake Dr
Corpus Christi, TX 78413-5267
Phone (361) 218-6389

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

LicenseStateTypeSpecialty
216096TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzical Corpus Christi LLC CurrentSince Dec 21, 2021 Accepting new patients

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1588323570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 GRAND LAKE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135267",
            "telephone_number": "361-218-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 AIRLINE RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143570",
            "telephone_number": "361-334-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABALE",
        "first_name": "RAMIAH",
        "middle_name": "JOSEPH",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "216096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.