Kaitlin Ruthstrom

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

2156590 Issued in TX

Practice address

650 W Bough LN Ste 168
Houston, TX 77024-4099

Phone

(832) 658-3150

NPI assigned

Oct 22, 2025

Sex

Unspecified or another gender identity

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

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1134096274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W BOUGH LN STE 168",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W BOUGH LN STE 168",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244099",
            "telephone_number": "832-658-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHSTROM",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "2156590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huey D Rutherford, M.D.
• Lauren Rutherford
• Lerin Elise Rutherford, MD
• Ruthie Mae'S Grandbaby LLC
• Ivy Janitza Ikpeme Ruths, PH.D.
• Donald C. Ruthven Jr., DDS
• Rutinwa Healthcare LLC
• Alison Huntress Rutledge, PHD
• Crystal Rutledge, P.T.
• Emily Cecilia Rutledge, MD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.