Active NPI
Marsha Ruppert
- Physical Therapist
- Clearwater, FL
National Provider Identifier
1306152640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25600
- Practice address
- 1640 Gulf to Bay Blvd
Suite 1
Clearwater, FL 33755-6423 - Phone
- (727) 442-7500
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25600 | FL | Primary |
Addresses
Primary practice location
1640 Gulf to Bay Blvd
Suite 1
Clearwater, FL 33755-6423
Mailing address
115 Grand Beach PL
Tampa, FL 33609-2497
Phone (904) 625-2597
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25600 | FL | MD | Physical Therapist |
Networks
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1306152640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 GRAND BEACH PL",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092497",
"telephone_number": "904-625-2597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 GULF TO BAY BLVD",
"address_2": "SUITE 1",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337556423",
"telephone_number": "727-442-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPPERT",
"first_name": "MARSHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "25600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.