Gerardo Octavio Ruiz, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1221559 Issued in TX

Practice address

6767 9TH Ave
Port Arthur, TX 77642-6414

Phone

(409) 722-1485

NPI assigned

May 16, 2016

Sex

Male

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Texas Tech University Health Science Center School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South County Physical Therapy and Rehabilitation Center, Inc.Group PAC ID 9133271489, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South County Physical Therapy & Rehabilitation Center, Inc.

  dba South County Physical Therapy Inc.

  • Physical Therapist
  • Port Arthur, TX
  • NPI 1881871861
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1245687656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426414",
            "telephone_number": "409-722-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426414",
            "telephone_number": "409-722-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "GERARDO",
        "middle_name": "OCTAVIO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1221559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Romine
• Ronald K. Risinger, DDS, Ms, PC (Gulf Coast Orthodontic Specialists)
• Dennis Eric Rose, M.D.
• Tamisa Latoya Ross, LPC-A
• Rovinger Positioning Systems Corporation
• Xandria Maria Rusiana-Tran, FNP-C
• S.K. Rao, M.D., P.a.
• Samaritan Counseling Center
• Samaritan Counseling Center of Southeast Texas
• Samaritan Counseling Center of Southeast Texas

• Physical Therapist in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.