Oliverio Rene Pruneda, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2012704 Issued in TX

Practice address

317 E Park Ave
Pharr, TX 78577-4840

Phone

(956) 283-7311

Fax

(956) 283-8858

NPI assigned

Oct 21, 2011

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 and National Provider Directory roles.

• Alamo Physical Therapy Rehabilitation

  • Physical Therapist
  • Pharr, TX
  • NPI 1740581107
  NPD (past) Authorized official

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1891070827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E PARK AVE",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785774840",
            "telephone_number": "956-283-7311",
            "fax_number": "956-283-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E PARK AVE",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785774840",
            "telephone_number": "956-283-7311",
            "fax_number": "956-283-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUNEDA",
        "first_name": "OLIVERIO",
        "middle_name": "RENE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2012704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Dental Group P.a.
• Progressive Skilled Home Health Services LLC
• Pronto Medical Supply
• Belinda Pruneda, LPC
• Mike Angel Pruneda Sr.
• Psja Family Clinic, LLC
• Sandra Puente-Gonzalez, LPC
• Patricia Puente, M.S., CCC-SLP
• Pura Vida Counseling Services PLLC
• Push Therapy LLC

• Physical Therapy Assistant in Pharr, TX
• Providers in Pharr, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.