Organization Active NPI

Ryke Rehabilitation, LLC

  • Physical Therapist
  • Live Oak, TX
National Provider Identifier
1811197155
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RYKE REHABILITATION, LLC
Practice address
12315 Judson Rd
200
Live Oak, TX 78233-3277
Phone
(210) 656-7953
Fax
(210) 656-7957
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Mr. Dustin Allan McArthur
Title
Buisness Owner
Phone
(210) 337-7953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X TX Primary

Addresses

Primary practice location

12315 Judson Rd
200
Live Oak, TX 78233-3277

Mailing address

3875 E Southcross Blvd
Ste. B
San Antonio, TX 78222-3521
Phone (210) 337-7953

Other identifiers 1

IdentifierTypeStateIssuer
00974XOtherTXMEDICARE GROUP PTAN NUMBE

National Provider Directory

National Provider Directory
Tax ID family
Ryke Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1811197155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 E SOUTHCROSS BLVD",
            "address_2": "STE. B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223521",
            "telephone_number": "210-337-7953",
            "fax_number": "210-337-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 JUDSON RD",
            "address_2": "200",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333277",
            "telephone_number": "210-656-7953",
            "fax_number": "210-656-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYKE REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "MCARTHUR",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "BUISNESS OWNER",
        "authorized_official_telephone_number": "210-337-7953",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN NUMBE",
            "identifier": "00974X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.