Luz Mireya Silva-Rueda

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05004633A Issued in IN

Practice address

11301 Desert Glen Dr
Fishers, IN 46037-8293

Phone

(317) 431-1147

Fax

(317) 585-0365

NPI assigned

Jun 27, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Luz Mireya Silva-Rueda Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1386806560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 DESERT GLEN DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460378293",
            "telephone_number": "317-431-1147",
            "fax_number": "317-585-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 DESERT GLEN DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460378293",
            "telephone_number": "317-431-1147",
            "fax_number": "317-585-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA-RUEDA",
        "first_name": "LUZ",
        "middle_name": "MIREYA",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004633A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER NUMBER",
            "identifier": "200605990",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS PROVIDER",
            "identifier": "200731600A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUZ",
            "last_name": "SILVA-RUEDA",
            "middle_name": "MIREYA",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Sicinski
• Kanwaldeep Sidhu, MD
• Kerrie Byrnes Siegl, LMFT
• Shawn P. Sigler, O.D.
• Terry Paul Silke, OD
• Kelsy Marie Simanski, OTD, OTR
• Jennifer Simmons
• Kristen S Simpkins, M.D.
• Simply Dental of Fishers PC
• Sharon Louise Sims, CPNP, PHD

• Physical Therapist in Fishers, IN
• Providers in Fishers, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.