Active NPI
Cynthia Ruich, MPT
- Physical Therapist
- Fort Wayne, IN
National Provider Identifier
1154481521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002010A
- Practice address
- 11143 Parkview Plaza Dr Ste 100
Fort Wayne, IN 46845-1728 - Phone
- (260) 266-7400
- Fax
- (260) 266-7439
- NPI assigned
- Dec 8, 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 | 05002010A | IN | Primary |
Addresses
Primary practice location
11143 Parkview Plaza Dr Ste 100
Fort Wayne, IN 46845-1728
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
510 N Grandstaff Dr
Auburn, IN 46706
Phone (260) 927-9270
Other practice location 2
510 N Grandstaff Dr
Auburn, IN 46706
Phone (260) 927-9270
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100357810A | Medicaid | IN | |
| 1424 | Other | IN | PHP |
| 4423623 | Other | IN | AETNA |
| 35179001202 | Other | IN | CARESOURCE |
| 000000491118 | Other | IN | ANTHEM BCBS |
Other names 1
- Miss Cynthia Louise Spieth
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Physical Therapy, 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.
-
- Physical Therapy Clinic/Center
- Bluffton, IN
- NPI 1629110192
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1154481521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11143 PARKVIEW PLAZA DR STE 100",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451728",
"telephone_number": "260-266-7400",
"fax_number": "260-266-7439"
}
],
"practiceLocations": [
{
"address_1": "510 N Grandstaff Dr",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "IN",
"postal_code": "46706",
"country_code": "US",
"telephone_number": "260-927-9270",
"fax_number": "260-927-9272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 N Grandstaff Dr",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "IN",
"postal_code": "46706",
"country_code": "US",
"telephone_number": "260-927-9270",
"fax_number": "260-927-9272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUICH",
"first_name": "CYNTHIA",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002010A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100357810A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "1424",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4423623",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "35179001202",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000491118",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "SPIETH",
"middle_name": "LOUISE",
"prefix": "MISS",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.