Ruddi Edward Barbolini, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019804 1 Issued in NY

Practice address

4575 Main Street
Amherst, NY 14226

Phone

(716) 839-2881

Fax

(716) 839-2882

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ruddi Barbolini PT PC

  dba Williamsville Physical Therapy

  • Physical Therapist
  • Amherst, NY
  • NPI 1316006471
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053484402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 MAIN STREET",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-839-2881",
            "fax_number": "716-839-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 MAIN STREET",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-839-2881",
            "fax_number": "716-839-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOLINI",
        "first_name": "RUDDI",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019804 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000626504002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9311387",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole L Ball, AUD
• Mohamad Balti, M.D.
• Anne Caroline Banas, M.D.
• Anna Elizabeth Bandinelli
• Jade Alexis Banks, LPN
• Meghan Elizabeth Barbour, M.A. SLP
• Rakhi Shah Barkowski, M.D.
• Matthew Ian Barletta, D.O.
• Elizabeth P Barlog, MD
• Jared C Barlow, MD

• Physical Therapist in Amherst, NY
• Providers in Amherst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.