Caroline Ann Rucker, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-033516 Issued in AZ

Practice address

4601 N Via Entrada Apt 1051
Tucson, AZ 85718-5871

Phone

(404) 984-4256

NPI assigned

Aug 21, 2014

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bird'S Eye Wisdom PLLC

  • Clinic/Center
  • Tucson, AZ
  • NPI 1114761608
  NPD Authorized official

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1235538786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N VIA ENTRADA APT 1051",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185871",
            "telephone_number": "404-984-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N VIA ENTRADA APT 1051",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185871",
            "telephone_number": "404-984-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "CAROLINE",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Mark Rubin, DDS
• Susan Rubin, PH.D. , LCSW
• Maria Lizeth Rubio Dovala
• John M Ruboyianes, MD
• Stephanie Rucker-Spann
• Creed Monroe Rucker, MD
• Ronchell Rucker, RN
• Rachel Ruckman, MD
• Benjamin Troy Rud, DO
• Kim Ruddick

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.