Ruth Idalia Quezada Juarez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI005763 Issued in PA

Practice address

110 W Wissahickon Ave
Flourtown, PA 19031-1802

Phone

(844) 334-3818

NPI assigned

Nov 3, 2021

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

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": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1407511496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 QUINCE DR",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401919",
            "telephone_number": "915-726-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W WISSAHICKON AVE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311802",
            "telephone_number": "844-334-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA JUAREZ",
        "first_name": "RUTH IDALIA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI005763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Rehabilitation Services, PC (Wissahickon Physical Therapy)
• Armin Caspar Porzig, DC, PA-C
• Sean Powers, D.P.T.
• Public Health Management Corporation (PHMC at Carson Valley)
• Courtney Anne Quattrone, PHARMD
• Shireen Rabiei
• Benjamin Raile, MD
• Rhaya Ramos
• Shelby Rance
• Megan Reddish, LCSW

• Physical Therapy Assistant in Flourtown, PA
• Providers in Flourtown, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.