Ruth M Pandolph, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10579 Issued in FL

Practice address

305 Commerce Center Dr
Saint Cloud, FL 34769-1549

Phone

(407) 873-5311

NPI assigned

May 9, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Comprehensive Pain Relief Inc.

  • Physical Therapy Clinic/Center
  • Saint Cloud, FL
  • NPI 1780915181
  NPD (past) Authorized official
• Healis Rehabilitation Center

  dba The Children's Clinic

  • Rehabilitation Clinic/Center
  • Village of Palmetto Bay, FL
  • NPI 1326022823
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1245289032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 COMMERCE CENTER DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691549",
            "telephone_number": "407-873-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 COMMERCE CENTER DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691549",
            "telephone_number": "407-873-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDOLPH",
        "first_name": "RUTH",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI (COMPREHENSIVE PAIN RELIEF)",
            "identifier": "1780915181",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888581800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Camila Palacio
• Mercedes Manuela Palacio
• Palm Tree Interventional Pain Management, PLLC
• Yolanda M Palmero, RNP
• Kathleen A. Palyo, NP
• Paramount Alf, Inc.
• Yamily Paredes, BA
• Yumar Beatriz Parejo
• Parenting & Mental Health, LLC
• Natalie Harris Parker

• Physical Therapist in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.