Individual provider Active NPI

Andrew Ruiz, MPT

  • Physical Therapist
  • Florham Park, NJ
National Provider Identifier
1255583159
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01294700 Issued in NJ
Practice address
171 Ridgedale Ave
Suite a
Florham Park, NJ 07932-1764
Phone
(973) 940-8680
Fax
(973) 940-8634
NPI assigned
Oct 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01294700 NJ Primary

Addresses

Primary practice location

171 Ridgedale Ave
Suite a
Florham Park, NJ 07932-1764

Mailing address

28 Colonial Oaks Dr
Oak Ridge, NJ 07438-9195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Physical Medicine & Rehabilitation Center, LLC Physical Therapist CurrentSince Nov 29, 2010 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Total Health Physical Medicine & Rehabilitation Center LLC Physical Therapist Current Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Total Health Physical Medicine and Rehab Center CurrentSince Nov 29, 2010 Accepting new patients

Locations

95 W Main St
Ste 1
Chester, NJ 07930
Phone (908) 879-7364

171 Ridgedale Ave
Ste A
Florham Park, NJ 07932
Phone (973) 377-6327

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1255583159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 COLONIAL OAKS DR",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074389195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RIDGEDALE AVE",
            "address_2": "SUITE A",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321764",
            "telephone_number": "973-940-8680",
            "fax_number": "973-940-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ANDREW",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01294700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.