Rigoberto Rene Sustayta

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

120086 Issued in TX

Practice address

2011 Broadway St Ste 130
Pearland, TX 77581-5945

Phone

(281) 997-8509

NPI assigned

Nov 3, 2019

Last updated

Nov 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverkids Houston Therapy, LLC

  dba Riverkids Pediatric Home Health

  • Home Health Agency
  • Pearland, TX
  • NPI 1780729731
  NPD (past)

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

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1699319665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 REDWOOD BND",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234487",
            "telephone_number": "956-393-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 BROADWAY ST STE 130",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815945",
            "telephone_number": "281-997-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSTAYTA",
        "first_name": "RIGOBERTO",
        "middle_name": "RENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-03",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "120086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claude Romuald Superville, PHD, THD, DBC
• Supervista North America (brillen.com)
• Kashonna Surge
• Surreal Luxury Hair Bouquet
• Susie Surgical Assistant Services LLC
• Shana Sutcliffe, L.P.C.
• Byron Stephen Sutherland, L.P.C.
• Elaine Sutton
• April Renee Svetlik, OTR
• Elizabeth Svetlik

• Pediatric Occupational Therapist in Pearland, TX
• Providers in Pearland, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; 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.