Organization Active NPI

R2 Partners, LP

  • Physical Medicine & Rehabilitation Physician
  • Tyler, TX
National Provider Identifier
1609810308
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
K1283 Issued in TX
Legal business name
R2 PARTNERS, LP
Practice address
3110 Park Center Dr.
Tyler, TX 75701-9215
Phone
(903) 593-9999
Fax
(903) 526-4239
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Ritesh R Prasad, MDNPI 1952308777
Title
Partner
Phone
(903) 593-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 6215 TX
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X K1283 TX Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

3110 Park Center Dr.
Tyler, TX 75701-9215

Mailing address

P.O. Box 132929
Tyler, TX 75713-2929
Phone (903) 593-9999

Other names 1

  • Direct RehabMed Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060206000473 TX Part B Supplier - Clinic/Group Practice 6103814306 Receives reassigned benefits from 1 practitioner
Practice locations: Tyler, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2268326Direct Rehabmed Business Health3110 Park Center Dr, Tyler, TX 75701Certificate of waiverSep 8, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1609810308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 132929",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757132929",
            "telephone_number": "903-593-9999",
            "fax_number": "903-526-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 PARK CENTER DR.",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019215",
            "telephone_number": "903-593-9999",
            "fax_number": "903-526-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R2 PARTNERS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "RITESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-593-9999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6215",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K1283",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct RehabMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.