Joellen Ruckman, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP 1188 Issued in WV

Practice address

40 W Main St
Morgantown, WV 26501-4567

Phone

(304) 282-1627

Fax

(304) 243-5880

NPI assigned

Dec 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Easter Seal Rehabilitation Center, Inc.

  • Pediatric Rehabilitation Medicine Physician
  • Wheeling, WV
  • NPI 1134124647

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1073882999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W MAIN ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265014567",
            "telephone_number": "304-282-1627",
            "fax_number": "304-243-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W MAIN ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265014567",
            "telephone_number": "304-282-1627",
            "fax_number": "304-243-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKMAN",
        "first_name": "JOELLEN",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP 1188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britany Rubenstein, OTR/L
• Samantha J Rubin, FNP-C
• Rucker Therapy Associates, LLC
• Bobbi Rucker, DPT
• Michael Hugh Rucker II, LMFT
• Kallen Ruddle
• Kristin Ruddle
• Adam Rudmann, DDS
• Jaunita Kae Rudmann, MA, PT
• Janelle Rudolph, CPHT

• Speech-Language Pathologist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; 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.