Individual provider Active NPI

Patricio Ruvalcaba, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1992468136
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1353202 Issued in TX
Practice address
11911 Greenville Ave Apt 2314
Dallas, TX 75243-3671
Phone
(915) 920-2360
Fax
(630) 928-5080
NPI assigned
Oct 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1353202 TX Primary

Addresses

Primary practice location

11911 Greenville Ave Apt 2314
Dallas, TX 75243-3671

Mailing address

11911 Greenville Ave Apt 2314
Dallas, TX 75243-3671
Phone (915) 920-2360

Other practice location 1

1821 N Lake Forest Dr Ste 300
McKinney, TX 75071-7670
Phone (469) 219-3707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1992468136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 GREENVILLE AVE APT 2314",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433671",
            "telephone_number": "915-920-2360",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 GREENVILLE AVE APT 2314",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433671",
            "telephone_number": "915-920-2360",
            "fax_number": "630-928-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 N Lake Forest Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750717670",
            "country_code": "US",
            "telephone_number": "469-219-3707",
            "fax_number": "469-919-0544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUVALCABA",
        "first_name": "PATRICIO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-14",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1353202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.