Maryann Ruffino, M.P.T

Individual provider Active NPI Physical Therapist · Dryden, MI

NPI 1295742997 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295742997
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5501010900 (MI)
Practice address
4032 Belle Ridge Dr
Dryden, MI 48428-9387
Phone
(810) 614-0450
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Therapy & Wellness, LLC Physical Therapist Past
since Apr 30, 2003
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501010900 MI Yes

Addresses

Primary practice location

4032 Belle Ridge Dr
Dryden, MI 48428-9387

Mailing address

4032 Belle Ridge Dr
Dryden, MI 48428-9387
Phone (810) 614-0450

Other providers in Dryden, MI

All providers in Dryden, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.