Active NPI
Ruth B Naylor, P.T.
- Physical Therapist
- Mooresville, NC
National Provider Identifier
1083657225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5291
- Practice address
- 503 Canvasback Rd
Mooresville, NC 28117-8134 - Phone
- (704) 799-9791
- NPI assigned
- Jun 14, 2006
- Last updated
- Jul 8, 2007
- 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 Therapist | 225100000X | 5291 | NC | Primary |
Addresses
Primary practice location
503 Canvasback Rd
Mooresville, NC 28117-8134
Mailing address
18701 Maplecroft Lake LN
Davidson, NC 28036-8830
Phone (704) 892-0179
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07928 | Other | NC | BCBS |
| 95619 | Other | NC | MEDCOST |
| 7210609 | Medicaid | NC | |
| 7513136 | Other | NC | AETNA |
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 |
|---|---|---|---|
| 5291 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Physical Therapy Services Inc | Physical Therapist | Past | 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.
-
- Pediatric Physical Therapist
- Mooresville, NC
- NPI 1336148279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083657225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18701 MAPLECROFT LAKE LN",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280368830",
"telephone_number": "704-892-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 CANVASBACK RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178134",
"telephone_number": "704-799-9791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYLOR",
"first_name": "RUTH",
"middle_name": "B",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "5291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07928",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "95619",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7210609",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7513136",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
Sources for this page
- 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.