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

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, DO

Title

Owner

Phone

(828) 551-0285

Specialties & licenses 2

Addresses

Other names 1

• Compass Functional Medicine, PLLC Former legal business name

Locations

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
• 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.