Ricardo G Altahif Jr., OTD
Occupational Therapist in Waco, TX. Individual provider (NPI-1).
NPI number1073166559
StatusActive
Last updated in NPPESJul 23, 2019
Details
- NPI
- 1073166559
- Entity type
- Individual (NPI-1)
- Name
- Ricardo G Altahif Jr.
- Credential
- OTD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2019
- Last updated
- Jul 23, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 117368 | TX | Yes |
Practice location
100 Hillcrest Medical BlvdWaco, TX 76712-8897
Phone 956-735-3496
Mailing address
2220 Columbus Ave Apt CWaco, TX 76701-1052
Phone 956-735-3496
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 85 Occupational Therapist providers in Waco · All 4,231 providers in Waco
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