Richard Albert Ball, PTA

Individual provider Active NPI Physical Therapy Assistant · Robinson, TX

NPI 1619458783 · NPPES record last updated Oct 1, 2024

Key facts

NPI
1619458783
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2070612 (TX)
Practice address
419 Paso Fino St.
Robinson, TX 76706-7640
Phone
(806) 928-2084
NPI assigned
Aug 27, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2070612TXMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2070612 TX Yes

Addresses

Primary practice location

419 Paso Fino St.
Robinson, TX 76706-7640

Mailing address

419 Paso Fino St.
Robinson, TX 76706-7640
Phone (806) 928-2084

Other providers in Robinson, TX

All providers in Robinson, TX · Physical Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.