Active NPI
Elizabeth Ann Ruch, OTD, OTR/L
- Occupational Therapist
- Ft Carson, CO
National Provider Identifier
1508045782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1103
- Practice address
- 1665 Cochrane Cir
Ft Carson, CO 80913-4603 - Phone
- (719) 524-2647
- NPI assigned
- Oct 24, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1103 | NE | Primary |
Addresses
Primary practice location
1665 Cochrane Cir
Ft Carson, CO 80913-4603
Mailing address
100 Indian Hills Dr.
Macy, NE 68039
Phone (402) 837-4190
Other practice location 1
100 Indian Hills Dr.
Macy, NE 68039
Phone (402) 837-4190
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1103 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1508045782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 INDIAN HILLS DR.",
"city": "MACY",
"state": "NE",
"postal_code": "68039",
"telephone_number": "402-837-4190",
"fax_number": "402-837-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 COCHRANE CIR",
"city": "FT CARSON",
"state": "CO",
"postal_code": "809134603",
"telephone_number": "719-524-2647"
}
],
"practiceLocations": [
{
"address_1": "100 Indian Hills Dr.",
"address_purpose": "LOCATION",
"city": "Macy",
"state": "NE",
"postal_code": "68039",
"country_code": "US",
"telephone_number": "402-837-4190",
"fax_number": "402-837-5303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUCH",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.