Kristiana T Ruan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042085-01 Issued in NY

Practice address

128 Phoenix Mills Rd
Cooperstown, NY 13326-5716

Phone

(607) 544-2600

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1255245361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PIONEER ST APT 1",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261277",
            "telephone_number": "347-912-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 PHOENIX MILLS RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133265716",
            "telephone_number": "607-544-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Buntline Dr",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "NY",
            "postal_code": "121671203",
            "country_code": "US",
            "telephone_number": "607-652-2960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUAN",
        "first_name": "KRISTIANA",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042085-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel M Rosen, M.D.
• Hugh Alsworth Ross, MD
• Alicia L Rowley, FNP
• John D Rowley, P.A.
• Patricia Rowley, P.A.
• Michael J Rumbutis, R.P.A.
• Anna Lynn Rumi, RN, CRNA
• Haley Anna Runyon, RPH
• Paul Donnald Russo, O.D
• Adam Rutherford, PHARMD

• Physical Therapist in Cooperstown, NY
• Providers in Cooperstown, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.