Active NPI
Bobbi Rucker, DPT
- Physical Therapist
- Morgantown, WV
National Provider Identifier
1154813616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003989
- Practice address
- 2195 Cheat Rd Ste 1
Morgantown, WV 26508-0022 - Phone
- (304) 594-2500
- Fax
- (304) 594-9310
- NPI assigned
- May 31, 2018
- 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 | PT003989 | WV | Primary |
Addresses
Primary practice location
2195 Cheat Rd Ste 1
Morgantown, WV 26508-0022
Mailing address
2195 Cheat Rd Ste 1
Morgantown, WV 26508-0022
Phone (304) 594-2500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT003989 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1154813616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2195 CHEAT RD STE 1",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265080022",
"telephone_number": "304-594-2500",
"fax_number": "304-594-9310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 CHEAT RD STE 1",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265080022",
"telephone_number": "304-594-2500",
"fax_number": "304-594-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKER",
"first_name": "BOBBI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT003989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.