Individual provider Active NPI

Twila M Ruefer, DPT

  • Physical Therapist
  • Slidell, LA
National Provider Identifier
1346759057
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09748 Issued in LA
Practice address
1311 Gause Blvd
Slidell, LA 70458-3015
Phone
(985) 649-6577
Fax
(985) 649-7615
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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 09748 LA Primary

Addresses

Primary practice location

1311 Gause Blvd
Slidell, LA 70458-3015

Mailing address

1311 Gause Blvd
Slidell, LA 70458-3015
Phone (985) 649-6577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209000366 VA Practitioner - Physical Therapist in Private Practice 0648539718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Physical Therapy LLC Physical Therapist CurrentSince Feb 2, 2021 Accepting new patients
Best Life Physical Therapy and Sports Medicine Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Longevity Institute of Virginia CurrentSince Jan 5, 2025 Accepting new patients

Locations

9447B Lorton Market St
#250
Lorton, VA 22079
Phone (703) 372-5716

2404 Potters Rd
Ste 400
Virginia Beach, VA 23454
Phone (757) 340-8805

Organizations & group practices 3

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": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1346759057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583015",
            "telephone_number": "985-649-6577",
            "fax_number": "985-649-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583015",
            "telephone_number": "985-649-6577",
            "fax_number": "985-649-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEFER",
        "first_name": "TWILA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.