Active NPI
Jeffrey Rapio Ronquillo, PT
- Pediatric Physical Therapist
- Converse, TX
National Provider Identifier
1801309943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1203862
- Practice address
- 10230 Macarthur Way
Converse, TX 78109-1982 - Phone
- (254) 723-1161
- NPI assigned
- Nov 11, 2017
- Sex
- Male
- 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 Physical Therapist | 2251P0200X | 1203862 | TX | Primary |
Addresses
Primary practice location
10230 Macarthur Way
Converse, TX 78109-1982
Mailing address
10230 Macarthur Way
Converse, TX 78109-1982
Phone (254) 723-1161
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1203862 | TX | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510358400000",
"number": "1801309943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10230 MACARTHUR WAY",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781091982",
"telephone_number": "254-723-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10230 MACARTHUR WAY",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781091982",
"telephone_number": "254-723-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONQUILLO",
"first_name": "JEFFREY",
"middle_name": "RAPIO",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-11",
"last_updated": "2017-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1203862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Converse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.