Nancy Lynn Ruggles, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056-006828 Issued in IL

Practice address

3100 N 77TH Ave
Elmwood Park, IL 60707-1111

Phone

(708) 395-5073

Fax

(708) 395-5235

NPI assigned

Nov 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Nancy Lynn Rudnick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ruggles Pediatric Therapy Services Inc

  • Pediatric Occupational Therapist
  • Elmwood Park, IL
  • NPI 1245572288

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1437225216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N 77TH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607071111",
            "telephone_number": "708-395-5073",
            "fax_number": "708-395-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N 77TH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607071111",
            "telephone_number": "708-395-5073",
            "fax_number": "708-395-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGLES",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-25",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056-006828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "01636470",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "RUDNICK",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tasia Rogers
• Darius BJ Rudd
• Ashley Marie Ruff, M.S.
• Ruggles Pediatric Therapy Services Inc
• Michael J Ruggles, M.A.
• Rush Oak Park Physicians Group Elmwood Park
• Rush-Select Holdings, LLC. (RUSH Physical Therapy)
• Nader Sadi, DPM
• Shiny E Saju, FNP
• Evelyn Salcedo, LCSW

• Pediatric Occupational Therapist in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.