Active NPI
David William Ruggles, OTD
- Occupational Therapist
- Kerrville, TX
National Provider Identifier
1649832254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 120045
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Speech-Language Assistant
- Kerrville, TX
- NPI 1255679338
-
- Speech-Language Pathologist
- Kerrville, TX
- NPI 1790815744
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.