Individual provider Active NPI

Janice Lorraine Devine-Ruggles, PT

  • Physical Therapist
  • Stratford, WI
National Provider Identifier
1487727251
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5375-024 Issued in WI
Practice address
225 N. 2ND Avenue
Stratford, WI 54484-0156
Phone
(715) 687-2214
Fax
(715) 687-4716
NPI assigned
Nov 17, 2006
Last updated
Nov 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5375-024 WI Primary

Addresses

Primary practice location

225 N. 2ND Avenue
Stratford, WI 54484-0156

Mailing address

PO Box 156
Stratford, WI 54484-0156
Phone (715) 687-2214

Other identifiers 1

IdentifierTypeStateIssuer
40046900MedicaidWI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5375-024WIMDPhysical Therapist
5375WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sport & Spine Clinic L.P. Physical Therapist Past Accepting new patients
Stratford Therapy Services, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1487727251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "STRATFORD",
            "state": "WI",
            "postal_code": "544840156",
            "telephone_number": "715-687-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N. 2ND AVENUE",
            "city": "STRATFORD",
            "state": "WI",
            "postal_code": "544840156",
            "telephone_number": "715-687-2214",
            "fax_number": "715-687-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE-RUGGLES",
        "first_name": "JANICE",
        "middle_name": "LORRAINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5375-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40046900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.