Individual provider Active NPI

Allison Hailey Ruthe, PT, DPT

  • Pediatric Physical Therapist
  • Bloomington, MN
National Provider Identifier
1265149843
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
12890 Issued in MN
Practice address
900 W 94TH St
Bloomington, MN 55420-4206
Phone
(952) 885-0418
NPI assigned
Nov 2, 2022
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12890 MN
Pediatric Physical Therapist 2251P0200X 12890 MN Primary

Addresses

Primary practice location

900 W 94TH St
Bloomington, MN 55420-4206

Mailing address

7300 Bristol Village Dr Apt 213
Bloomington, MN 55438-2589
Phone (217) 741-2249

Other practice location 1

2101 Wooddale Dr Ste A
Woodbury, MN 55125-2933
Phone (651) 738-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221122000737 MN Practitioner - Physical Therapist in Private Practice 0244608362 Reassigns benefits to 1 organization
I20250219002495 IL Practitioner - Physical Therapist in Private Practice 0244608362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12890MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Feb 10, 2025 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Family Achievement Center Inc. Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
The Therapy Place PastSince Nov 1, 2022 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

900 W 94th St
Bloomington, MN 55420
Phone (952) 885-0418

2101 Wooddale Dr
Ste A
Woodbury, MN 55125
Phone (651) 738-9888

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

Organizations & group practices 6

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1265149843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 BRISTOL VILLAGE DR APT 213",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382589",
            "telephone_number": "217-741-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 94TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204206",
            "telephone_number": "952-885-0418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Wooddale Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252933",
            "country_code": "US",
            "telephone_number": "651-738-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTHE",
        "first_name": "ALLISON",
        "middle_name": "HAILEY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12890",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MN",
            "license": "12890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.