Jana Christine Ruddy, PT - PHYSICAL THERAP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016729 Issued in MI

Practice address

407 S. Telegraph Rd.
Monroe, MI 48161-1611

Phone

(734) 240-1950

Fax

(734) 240-1955

NPI assigned

Sep 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jana Christine Mannino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1003199464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S. TELEGRAPH RD.",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611611",
            "telephone_number": "734-240-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S. TELEGRAPH RD.",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611611",
            "telephone_number": "734-240-1950",
            "fax_number": "734-240-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDY",
        "first_name": "JANA",
        "middle_name": "CHRISTINE",
        "credential": "PT - PHYSICAL THERAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "99048678A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "MANNINO",
            "middle_name": "CHRISTINE",
            "credential": "PT - PHYSICAL THERAP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia G Rourke, PHD
• Patricia Sue Rousselo, PH.D.
• Nicole Marie Roy, LMT
• Michael Richard Rozich, PSYCHOLOGIST
• Elizabeth Ruddy, PT
• Taneesha Ruff
• Karen Ruhe
• Audrey L Rumler, MA LPC
• Michael Rundall, LBSW
• Kelly Rusko, MD

• Physical Therapist in Monroe, MI
• Providers in Monroe, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.