Active NPI
Sharon Jeanine Ruhsam, P.T.
- Physical Therapist
- Golden Valley, MN
National Provider Identifier
1427079326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 970
- Practice address
- 4225 Golden Valley Rd
Golden Valley, MN 55422-4215 - Phone
- (763) 302-4102
- Fax
- (763) 287-2309
- NPI assigned
- Jul 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 970 | MN | Primary |
Addresses
Primary practice location
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Mailing address
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Phone (763) 302-4102
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP56054 | Other | MN | HEALTHPARTNERS |
| 962871010735 | Other | MN | PREFERRED ONE |
| 181H5RU | Other | MN | BCBS OF MN |
| 2387931 | Other | MN | AMERICA'S PPO |
| 6405857 | Other | MN | MEDICA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427079326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224215",
"telephone_number": "763-302-4102",
"fax_number": "763-287-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224215",
"telephone_number": "763-302-4102",
"fax_number": "763-287-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUHSAM",
"first_name": "SHARON",
"middle_name": "JEANINE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP56054",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "962871010735",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "181H5RU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "2387931",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6405857",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.