Individual provider Active NPI

Daniel Ranucci, P.T.

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1225140833
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2296 Issued in AZ
Practice address
888 S Craycroft Rd
Suite140
Tucson, AZ 85711-7118
Phone
(520) 747-5557
Fax
(520) 747-1633
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2296 AZ Primary

Addresses

Primary practice location

888 S Craycroft Rd
Suite140
Tucson, AZ 85711-7118

Mailing address

888 S Craycroft Rd
Suite140
Tucson, AZ 85711-7118
Phone (520) 747-5557

Other identifiers 2

IdentifierTypeStateIssuer
110594MedicaidAZ
86-0592518OtherAZTAX ID

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

LicenseStateTypeSpecialty
2296AZMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Therapies of Texas, PLLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Jacqueline Kozak CurrentSince Nov 6, 2022 Accepting new patients
Ridgeview Physical Therapy PLLC Physical Therapist Past Accepting new patients
W & W Rehab Services,L.L.C. Physical Therapist PastSince Sep 15, 1999 Accepting new patients

Locations

1521 E Business 190
Copperas Cove, TX 76522
Phone (512) 256-7627

4402 Williams Dr
Ste 115
Georgetown, TX 78628
Phone (512) 256-7627

Organizations & group practices 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1225140833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S CRAYCROFT RD",
            "address_2": "SUITE140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117118",
            "telephone_number": "520-747-5557",
            "fax_number": "520-747-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S CRAYCROFT RD",
            "address_2": "SUITE140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117118",
            "telephone_number": "520-747-5557",
            "fax_number": "520-747-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANUCCI",
        "first_name": "DANIEL",
        "name_prefix": "Prof.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110594",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "86-0592518",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.