Ethan Xavier Ruiz, PTA
Individual provider Active NPI Physical Therapy Assistant · Devine, TX
NPI 1972445484 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1972445484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2147195 (TX)
- Practice address
- 379 W County Road 5719
Devine, TX 78016-4034 - Phone
- (210) 878-9872
- NPI assigned
- Apr 6, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2147195 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2147195 | TX | Yes |
Addresses
Primary practice location
379 W County Road 5719
Devine, TX 78016-4034
Mailing address
379 W County Road 5719
Devine, TX 78016-4034
Other providers in Devine, TX
- Ramirez Residential Care Home
- Redman Boarding Home
- Mary Rivera
- Donald E. Robinson
- Roy Duncan Personal Care Home
- Diana Scoggins
- Shri Durga Drugs, LLC
- Vonna Jo Smith
- South Texas Counseling & Wellness PLLC
- South Texas Counseling and Family Service Center
All providers in Devine, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.