Active NPI
Rosemarie Dennis Ruddick
- Physical Therapist
- Ft Meade, MD
National Provider Identifier
1124006572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15351
- Practice address
- 2480 Llewellyn Ave
Ft Meade, MD 20755-5800 - Phone
- (301) 677-8466
- Fax
- (301) 677-8491
- NPI assigned
- Jan 5, 2006
- 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 | 15351 | MD | Primary |
Addresses
Primary practice location
2480 Llewellyn Ave
Ft Meade, MD 20755-5800
Mailing address
7504 Covey Rd
Jessup, MD 20794-9707
Phone (410) 799-9954
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 |
|---|---|---|---|
| 15351 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124006572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7504 COVEY RD",
"city": "JESSUP",
"state": "MD",
"postal_code": "207949707",
"telephone_number": "410-799-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 LLEWELLYN AVE",
"city": "FT MEADE",
"state": "MD",
"postal_code": "207555800",
"telephone_number": "301-677-8466",
"fax_number": "301-677-8491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDDICK",
"first_name": "ROSEMARIE",
"middle_name": "DENNIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "15351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.