Individual provider Active NPI

Ruth Ann Boris, MA, CCC-SLP

  • Speech-Language Pathologist
  • Richmond Heights, OH
National Provider Identifier
1255813994
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-4382 Issued in OH
Practice address
3 Merit Dr
Richmond Heights, OH 44143-1457
Phone
(216) 261-9600
Fax
(866) 565-9511
NPI assigned
Aug 29, 2018
Last updated
Aug 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-4382 OH Primary

Addresses

Primary practice location

3 Merit Dr
Richmond Heights, OH 44143-1457

Mailing address

3 Merit Dr
Richmond Heights, OH 44143-1457
Phone (216) 261-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119001032 OH Practitioner - Qualified Speech Language Pathologist 2062947708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buckeye Senior Rehab LLCGroup PAC ID 4284017542, 16 clinicians

Practice addresses (Care Compare)

7750 Paragon Rd
Washington Township, OH 45459-4050
Phone (937) 800-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP-4382OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Senior Rehab LLC Speech-Language Pathologist CurrentSince Sep 12, 2024 Accepting new patients
Buckeye Senior Rehab LLC CurrentSince Sep 12, 2024 Accepting new patients

Locations

7750 Paragon Rd
Washington Township, OH 45459
Phone (937) 291-3780

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1255813994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MERIT DR",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431457",
            "telephone_number": "216-261-9600",
            "fax_number": "866-565-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MERIT DR",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431457",
            "telephone_number": "216-261-9600",
            "fax_number": "866-565-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORIS",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.