Individual provider Active NPI

David William Ruggles, OTD

  • Occupational Therapist
  • Kerrville, TX
National Provider Identifier
1649832254
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
120045 Issued in TX
Practice address
448 Sidney Baker St S Ste 103
Kerrville, TX 78028-5980
Phone
(830) 896-3130
Fax
(830) 896-3132
NPI assigned
Jul 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 120045 TX
Pediatric Occupational Therapist 225XP0200X 120045 TX
Occupational Therapist 225X00000X 120045 TX Primary

Addresses

Primary practice location

448 Sidney Baker St S Ste 103
Kerrville, TX 78028-5980

Mailing address

120 Summer Loop
Kerrville, TX 78028-4335
Phone (909) 803-7120

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boerne Just-4-Kids Therapy Past Accepting new patients
Kimberly a. Cochran 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.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1649832254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SUMMER LOOP",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284335",
            "telephone_number": "909-803-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 SIDNEY BAKER ST S STE 103",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285980",
            "telephone_number": "830-896-3130",
            "fax_number": "830-896-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGLES",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TX",
            "license": "120045",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "120045",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.