Individual provider Active NPI

Deborah D Ruehle, M.P.T.

  • Orthopedic Physical Therapist
  • Sandpoint, ID
National Provider Identifier
1326367459
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1890 Issued in ID
Practice address
1221 Michigan St
Sandpoint, ID 83864-1745
Phone
(208) 265-0534
Fax
(208) 265-0875
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1890 ID Primary
Geriatric Physical Therapist 2251G0304X 1890 ID

Addresses

Primary practice location

1221 Michigan St
Sandpoint, ID 83864-1745

Mailing address

1221 Michigan St
Sandpoint, ID 83864-1745
Phone (208) 265-0534

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130910000666 ID Practitioner - Physical Therapist in Private Practice 8628212883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kids in Motion Physical Therapy, PCGroup PAC ID 2264400597, 3 clinicians

Practice addresses (Care Compare)

1221 Michigan St
Sandpoint, ID 83864-1745
Phone (208) 265-0534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1890IDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids in Motion Physical Therapy, PC Geriatrics CurrentSince Aug 1, 2013 Accepting new patients

Locations

1221 Michigan St
Sandpoint, ID 83864
Phone (208) 265-0534

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1326367459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MICHIGAN ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641745",
            "telephone_number": "208-265-0534",
            "fax_number": "208-265-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MICHIGAN ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641745",
            "telephone_number": "208-265-0534",
            "fax_number": "208-265-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEHLE",
        "first_name": "DEBORAH",
        "middle_name": "D",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "1890",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "ID",
            "license": "1890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.