Dolores Quesada-Ruud, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

707019 Issued in WI

Practice address

1907 S 97TH St
West Allis, WI 53227-1430

Phone

(414) 840-7987

NPI assigned

May 9, 2008

Last updated

May 9, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1174790166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 S 97TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271430",
            "telephone_number": "414-840-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S 97TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271430",
            "telephone_number": "414-840-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUESADA-RUUD",
        "first_name": "DOLORES",
        "name_prefix": "Mrs.",
        "credential": "P.T.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "707019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in West Allis, WI
• Providers in West Allis, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.