Individual provider Active NPI

Raymundo Garza, PTA

  • Physical Therapy Assistant
  • Rio Grande City, TX
National Provider Identifier
1821579749
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2073403 Issued in TX
Practice address
5346 East Highway 83 Unit 2 Building a
Rio Grande City, TX 78582-7858
Phone
(956) 317-1282
NPI assigned
Aug 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X 2073403 TX Primary

Addresses

Primary practice location

5346 East Highway 83 Unit 2 Building a
Rio Grande City, TX 78582-7858

Mailing address

2070 E 2ND St
Roma, TX 78584-8787
Phone (956) 317-1282

Other practice location 1

6 W Lincoln Avenue
Roma, TX 78584-7858
Phone (956) 317-1282

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

LicenseStateTypeSpecialty
2073403TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1821579749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 E 2ND ST",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785848787",
            "telephone_number": "956-317-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5346 EAST HIGHWAY 83 UNIT 2 BUILDING A",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785827858",
            "telephone_number": "956-317-1282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 W Lincoln Avenue",
            "address_purpose": "LOCATION",
            "city": "Roma",
            "state": "TX",
            "postal_code": "785847858",
            "country_code": "US",
            "telephone_number": "956-317-1282",
            "fax_number": "956-317-1291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "RAYMUNDO",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2073403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.