Individual provider Active NPI

Mary Kaye Rueth, DPT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1023297611
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23764 Issued in FL
Practice address
840 111TH Ave N
Ste 1
Naples, FL 34108-1877
Phone
(239) 431-7396
Fax
(866) 357-4717
NPI assigned
Oct 30, 2007
Last updated
Feb 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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 23764 FL Primary

Addresses

Primary practice location

840 111TH Ave N
Ste 1
Naples, FL 34108-1877

Mailing address

8805 Tamiami TRL N
211
Naples, FL 34108-2525
Phone (239) 431-7396

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
23764FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Clinic of Naples LLC PastSince Jun 15, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1023297611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 TAMIAMI TRL N",
            "address_2": "211",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082525",
            "telephone_number": "239-431-7396",
            "fax_number": "866-357-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 111TH AVE N",
            "address_2": "STE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081877",
            "telephone_number": "239-431-7396",
            "fax_number": "866-357-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUETH",
        "first_name": "MARY",
        "middle_name": "KAYE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "23764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.