Individual provider Active NPI

Jill Michelle Ruckman, MS CCC SLP

  • Speech-Language Pathologist
  • Sugar Land, TX
National Provider Identifier
1174724272
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100963 Issued in TX
Practice address
2743 Imperia Dr Ste 103
Sugar Land, TX 77479-8988
Phone
(281) 616-3839
Fax
(346) 299-5196
NPI assigned
May 29, 2007
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100963 TX Primary

Addresses

Primary practice location

2743 Imperia Dr Ste 103
Sugar Land, TX 77479-8988

Mailing address

135 Dove TRL
Richwood, TX 77531-2249
Phone (281) 685-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250703001411 TX Practitioner - Qualified Speech Language Pathologist 5991218760 Reassigns benefits to 1 organization
I20250707002701 CA Practitioner - Qualified Speech Language Pathologist 5991218760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
All Care Physical Therapy, PCGroup PAC ID 5890972335, 174 clinicians
Slptele LLCGroup PAC ID 5395163174, 84 clinicians

Practice addresses (Care Compare)

1008 W Ave
M14 Suite a
Palmdale, CA 93551-1441
Phone (877) 757-8353

11801 Pierce St
Suite 200
Riverside, CA 92505-4400
Phone (877) 757-8353

2626 Cole Ave
Suite 300
Dallas, TX 75204-1094
Phone (877) 757-8353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
100963TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Physical Therapy, P.C. Speech-Language Pathologist CurrentSince Jun 24, 2025 Accepting new patients
Confident Kids Therapy LLC Speech-Language Pathologist CurrentSince Oct 13, 2024 Accepting new patients
Slptele LLC Speech-Language Pathologist CurrentSince Jun 24, 2025 Accepting new patients

Locations (25 of 27)

1101 Marina Village Pkwy
Ste 201
Alameda, CA 94501
Phone (510) 493-3438

4900 California Ave
Fl 2
Bakersfield, CA 93309
Phone (510) 722-5630

333 H St
Ste 5000
Chula Vista, CA 91910
Phone (619) 349-5410

516 W Shaw Ave
Ste 200
Fresno, CA 93704
Phone (559) 221-2584

530 Technology Dr
Ste 100
Irvine, CA 92618
Phone (213) 375-4070

5450 W Pico Blvd
Ste 202
Los Angeles, CA 90019
Phone (214) 893-2790

6420 Wilshire Blvd
Ste 600
Los Angeles, CA 90048
Phone 81889422731025

931 10th St
Modesto, CA 95354
Phone (209) 661-5576

1008 W Avenue M14
Ste A
Palmdale, CA 93551
Phone (619) 760-7025

9431 Haven Ave
Ste 100
Rch Cucamonga, CA 91730
Phone (909) 480-1735

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

333 University Ave
Ste 200
Sacramento, CA 95825
Phone (707) 864-6860

8929 Aero Dr
Ste E
San Diego, CA 92123
Phone (858) 277-2277

9655 Granite Ridge Dr
Ste 200
San Diego, CA 92123
Phone (619) 693-6617

3031 Tisch Way
Ste 110
San Jose, CA 95128
Phone (669) 200-4619

3031 Tisch Way
Ste 110PW
San Jose, CA 95128

951 Mariners Island Blvd
Ste 300
San Mateo, CA 94404
Phone (551) 227-3669

25350 Magic Mountain Pkwy
Ste 300
Valencia, CA 91355
Phone (661) 247-9568

1500 Palma Dr
Fl 2
Ventura, CA 93003
Phone (805) 284-1783

6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone (818) 588-4003

9600 Great Hills Trl
Ste 150E
Austin, TX 78759

2626 Cole Ave
Ste 300
Dallas, TX 75204
Phone (469) 340-1849

3838 Oak Lawn Ave
Ste 1000
Dallas, TX 75219
Phone (469) 317-6216

20333 State Highway 249
Ste 200
Houston, TX 77070
Phone (281) 748-9088

11200 Broadway St
Ste 2743
Pearland, TX 77584
Phone (281) 818-6758

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1174724272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 DOVE TRL",
            "city": "RICHWOOD",
            "state": "TX",
            "postal_code": "775312249",
            "telephone_number": "281-685-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 IMPERIA DR STE 103",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798988",
            "telephone_number": "281-616-3839",
            "fax_number": "346-299-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKMAN",
        "first_name": "JILL",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.