Active NPI
Ruben Jonathan Ruiz, DPT
- Physical Therapist
- Fort Walton Beach, FL
National Provider Identifier
1013535954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT35928
- Practice address
- 1034 Mar Walt Dr
Fort Walton Beach, FL 32547-6639 - Phone
- (850) 315-9310
- NPI assigned
- Jul 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT35928 | FL | Primary |
Addresses
Primary practice location
1034 Mar Walt Dr
Fort Walton Beach, FL 32547-6639
Mailing address
1818 Sunrise Dr
Navarre, FL 32566-8542
Phone (601) 507-4482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT35928 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1013535954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 SUNRISE DR",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325668542",
"telephone_number": "601-507-4482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 MAR WALT DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476639",
"telephone_number": "850-315-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "RUBEN",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-07",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT35928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.