Active NPI
Emily Elisabeth Ruch, OTR/L
- Occupational Therapist
- Virginia Beach, VA
National Provider Identifier
1457170441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119011190
- Practice address
- 629 Phoenix Dr Ste 115
Virginia Beach, VA 23452-7392 - Phone
- (757) 261-4475
- Fax
- (757) 222-3156
- NPI assigned
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119011190 | VA | Primary |
| Occupational Therapist | 225X00000X | 125029 | TX |
Addresses
Primary practice location
629 Phoenix Dr Ste 115
Virginia Beach, VA 23452-7392
Mailing address
629 Phoenix Dr Ste 115
Virginia Beach, VA 23452-7392
Phone (757) 261-4475
Other practice location 1
6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000
Other practice location 2
1300 Sentara Park # 3
Virginia Beach, VA 23464-5884
Phone (757) 388-1457
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125029 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1457170441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 PHOENIX DR STE 115",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527392",
"telephone_number": "757-261-4475",
"fax_number": "757-222-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 PHOENIX DR STE 115",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527392",
"telephone_number": "757-261-4475",
"fax_number": "757-222-3156"
}
],
"practiceLocations": [
{
"address_1": "6901 Medical Pkwy",
"address_purpose": "LOCATION",
"city": "Waco",
"state": "TX",
"postal_code": "767127910",
"country_code": "US",
"telephone_number": "254-751-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 Sentara Park # 3",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234645884",
"country_code": "US",
"telephone_number": "757-388-1457",
"fax_number": "833-627-5148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUCH",
"first_name": "EMILY",
"middle_name": "ELISABETH",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-07",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119011190",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "125029",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.