Individual provider Active NPI

Kasey Renee Ruthardt

  • Behavior Technician
  • Matthews, NC
National Provider Identifier
1205594900
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB732639 Issued in NC
Practice address
2010 Offaly Dr Apt 5107
Matthews, NC 28105-5195
Phone
(480) 399-5898
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB732639 NC Primary

Addresses

Primary practice location

2010 Offaly Dr Apt 5107
Matthews, NC 28105-5195

Mailing address

2010 Offaly Dr Apt 5107
Matthews, NC 28105-5195
Phone (480) 399-5898

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Matthews Direct Abacus Therapies, LLC

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

LicenseStateTypeSpecialty
BACB732639NCMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1205594900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 OFFALY DR APT 5107",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055195",
            "telephone_number": "480-399-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 OFFALY DR APT 5107",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055195",
            "telephone_number": "480-399-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHARDT",
        "first_name": "KASEY",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2026-05-11",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "BACB732639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Matthews",
            "affiliation": "Y",
            "affiliationName": "Abacus Therapies, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4000 Hollywood Blvd Ste 555S",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330216853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.