Active NPI
Craig Raymond Ruggiero, PT
- Geriatric Physical Therapist
- Florence, SC
National Provider Identifier
1194234591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT.3314PT
- Practice address
- 722 S Dargan St
Florence, SC 29506-2559 - Phone
- (843) 669-4403
- NPI assigned
- Sep 28, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT.3314PT | SC | Primary |
Addresses
Primary practice location
722 S Dargan St
Florence, SC 29506-2559
Mailing address
804 Lancelot Drive
Florence, SC 29505
Phone (843) 496-2223
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT.3314PT | SC | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506556800000",
"number": "1194234591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 LANCELOT DRIVE",
"city": "FLORENCE",
"state": "SC",
"postal_code": "29505",
"telephone_number": "843-496-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 S DARGAN ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062559",
"telephone_number": "843-669-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGGIERO",
"first_name": "CRAIG",
"middle_name": "RAYMOND",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-28",
"last_updated": "2017-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "SC",
"license": "PT.3314PT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.