RV Healthcare LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RV HEALTHCARE LLC

Doing business as

Therapeutic TKD

Practice address

3281 E Ivanhoe St
Gilbert, AZ 85295-3405

Phone

(480) 381-1109

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Raymund Velasco, PT,MA

Title

President/Owner

Phone

(480) 381-1109

Specialties & licenses 2

Addresses

Other names 1

• Therapeutic TKD Doing business as

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1619333739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 E JUDE LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852980462",
            "telephone_number": "480-381-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 E IVANHOE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953405",
            "telephone_number": "480-381-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RV HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "RAYMUND",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "480-381-1109",
        "authorized_official_credential": "PT,MA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "PT 7731",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic TKD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Therapeutic TKD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Austin Russell
• Tiffanie Russell, FNP
• Lisa Dawn Russo
• Bartley Chad Rust, PA-C
• Jeffery Scott Rust, P.A
• Rviv Wellness LLC
• Connor Lee Ryan, PT, DPT, CSCS
• George W Ryback, MD
• Ryken-NDFC, LLC
• Anne Sabatini, LAC

• Physical Therapy Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.