Active NPI
Jennifer Ruiz
- Physical Therapy Assistant
- Naples, FL
National Provider Identifier
1043099831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA32161
- Practice address
- 730 Goodlette Rd Ste 102
Naples, FL 34102-5617 - Phone
- (239) 430-3668
- Fax
- (239) 692-9436
- NPI assigned
- Sep 21, 2023
- Sex
- Female
- 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 Therapy Assistant | 225200000X | PTA32161 | FL | Primary |
Addresses
Primary practice location
730 Goodlette Rd Ste 102
Naples, FL 34102-5617
Mailing address
4231 Liron Ave Apt 203
Fort Myers, FL 33916-7862
Phone (239) 896-5847
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 |
|---|---|---|---|
| PTA32161 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1043099831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4231 LIRON AVE APT 203",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339167862",
"telephone_number": "239-896-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 GOODLETTE RD STE 102",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025617",
"telephone_number": "239-430-3668",
"fax_number": "239-692-9436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA32161",
"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 Sep 21, 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.