Active NPI
Valerie Dawne Ruzich, OTR
- Occupational Therapist
- Millbrook, NY
National Provider Identifier
1316247380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004554-1
- Practice address
- 3374 Franklin Ave
Millbrook, NY 12545-5969 - Phone
- (845) 677-6196
- NPI assigned
- Oct 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 004554-1 | NY | Primary |
Addresses
Primary practice location
3374 Franklin Ave
Millbrook, NY 12545-5969
Mailing address
2044 Bulls Head Rd
Stanfordville, NY 12581-5853
Phone (845) 868-7435
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004554-1 | NY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1316247380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2044 BULLS HEAD RD",
"city": "STANFORDVILLE",
"state": "NY",
"postal_code": "125815853",
"telephone_number": "845-868-7435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3374 FRANKLIN AVE",
"city": "MILLBROOK",
"state": "NY",
"postal_code": "125455969",
"telephone_number": "845-677-6196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUZICH",
"first_name": "VALERIE",
"middle_name": "DAWNE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "004554-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.