Individual provider Active NPI

Jose Royeca

  • Occupational Therapist
  • Terre Haute, IN
National Provider Identifier
1679926323
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31001216A Issued in IN
Practice address
2106 W Wilshire Dr
Terre Haute, IN 47802-8305
Phone
(812) 878-0901
NPI assigned
Jul 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31001216A IN Primary

Addresses

Primary practice location

2106 W Wilshire Dr
Terre Haute, IN 47802-8305

Mailing address

2106 W Wilshire Dr
Terre Haute, IN 47802-8305
Phone (812) 878-0901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815000747 IN Practitioner - Occupational Therapist in Private Practice 1557655529 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31001216AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Jun 11, 2023 Accepting new patients
Therapy on Wheels, Inc. CurrentSince Aug 31, 2020 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Apr 14, 2021 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Apr 14, 2021 Accepting new patients
Creative Health Care Management LLC Occupational Therapist CurrentSince Mar 22, 2021 Accepting new patients
Creative Health Care Management LLC Occupational Therapist CurrentSince Mar 22, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Jun 11, 2023 Accepting new patients

Locations

3203 E Moores Pike
Bloomington, IN 47401
Phone (812) 269-8220

300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511

7900 Rhode Island St
#1504
Merrillville, IN 46410
Phone (219) 649-0625

10 S 9th St
Ste 4
Noblesville, IN 46060

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 7

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1679926323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 W WILSHIRE DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478028305",
            "telephone_number": "812-878-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 W WILSHIRE DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478028305",
            "telephone_number": "812-878-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYECA",
        "first_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31001216A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.