Valley Physical Medicine, PLLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

VALLEY PHYSICAL MEDICINE, PLLC

Practice address

3706 Morganton Rd
Fayetteville, NC 28303-4963

Phone

(210) 396-2964

NPI assigned

Jan 15, 2020

Last updated

Jan 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawn M Ruminski, DONPI 1710120316

Title

Owner

Phone

(828) 551-0285

Specialties & licenses 2

Addresses

Other names 1

• Compass Functional Medicine, PLLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dawn Ruminski, D.O.

  • General Practice Physician
  • Fort Rucker, AL
  • NPI 1710120316
  Authorized official Same address or phone

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1245870484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 WALDEN RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033867",
            "telephone_number": "210-396-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 MORGANTON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034963",
            "telephone_number": "210-396-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHYSICAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "RUMINSKI",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-551-0285",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compass Functional Medicine, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Valley Eye Clinic, PLLC
• Valley Infectious Disease Care
• Valley Internal Medicine, Inc.
• Valley Medical Supplies, Inc
• Valley Physical Medicine PA
• Valley Pines Adult Care
• Valley Radiology P a
• Valleygate Anesthesia
• Valleygate Dental Surgery Center of Fayetteville, LLC (Valleygate Dental Surgery Center)
• Melenie Valois

• Neuromusculoskeletal Medicine & OMM Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Neuromusculoskeletal Medicine & OMM Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.