Individual provider Active NPI

Michelle Lynn Ruffo, DPT

  • Physical Therapist
  • State College, PA
National Provider Identifier
1295179273
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PA022666 Issued in PA
Practice address
2160 Sandy Dr Ste a
State College, PA 16803-2282
Phone
(814) 861-8122
Fax
(814) 861-4292
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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 PA022666 PA Primary

Addresses

Primary practice location

2160 Sandy Dr Ste a
State College, PA 16803-2282

Mailing address

434 W Aaron Dr
#104
State College, PA 16803-3074
Phone (814) 235-9995

Other names 1

  • Michelle Lynn McGregor Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130521000126 PA Practitioner - Physical Therapist in Private Practice 5092953604 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA022666PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Procare Physical Therapy Inc Physical Therapist CurrentSince Apr 19, 2013 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist PastSince Jun 1, 2017 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

307 Broad St
#101
Waverly, NY 14892
Phone (607) 565-4449

1680 Zion Rd
Bellefonte, PA 16823
Phone (814) 355-5660

328 Market St
Lewisburg, PA 17837
Phone (570) 768-4922

152 E Market St
Ste 200
Lewistown, PA 17044
Phone (717) 242-4840

417 Grow Ave
Montrose, PA 18801
Phone (570) 278-1101

1019 Ghaner Rd
Ste 200
Port Matilda, PA 16870
Phone (814) 954-7056

1019 Ghaner Rd
Port Matilda, PA 16870
Phone (814) 954-7056

24569 Route 6
#C
Towanda, PA 18848
Phone (570) 265-1111

5459 E Pleasant Valley Blvd
Tyrone, PA 16686
Phone (814) 682-7267

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1295179273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 W AARON DR",
            "address_2": "#104",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033074",
            "telephone_number": "814-235-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 SANDY DR STE A",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032282",
            "telephone_number": "814-861-8122",
            "fax_number": "814-861-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFO",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PA022666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MCGREGOR",
            "middle_name": "LYNN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.