Active NPI
Joanna Rubenfield
- Pediatric Occupational Therapist
- Wylie, TX
National Provider Identifier
1730594441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 111180
- Practice address
- 940 W FM 544
Box 2061
Wylie, TX 75098 - Phone
- (214) 406-9060
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 111180 | TX | Primary |
Addresses
Primary practice location
940 W FM 544
Box 2061
Wylie, TX 75098
Mailing address
940 W FM 544
Box 2061
Wylie, TX 75098
Phone (214) 406-9060
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1730594441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 W FM 544",
"address_2": "BOX 2061",
"city": "WYLIE",
"state": "TX",
"postal_code": "75098",
"telephone_number": "214-406-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 W FM 544",
"address_2": "BOX 2061",
"city": "WYLIE",
"state": "TX",
"postal_code": "75098",
"telephone_number": "214-406-9060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBENFIELD",
"first_name": "JOANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "111180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.