Individual provider Active NPI

Santiago Salazar Ruiz, PT, DPT, CSCS

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1508697384
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP049288T Issued in SC
Practice address
1991 E Ajo Way Ste 149
Tucson, AZ 85713-6269
Phone
(520) 485-5454
NPI assigned
Aug 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X CP049288T SC Primary

Addresses

Primary practice location

1991 E Ajo Way Ste 149
Tucson, AZ 85713-6269

Mailing address

1096 Golden Cane Dr FL 33327
Weston, FL 33327-2425
Phone (954) 790-2796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250110003005 AZ Practitioner - Physical Therapist in Private Practice 4789112244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodycentral Physical Therapy PCGroup PAC ID 2466348701, 43 clinicians

Practice addresses (Care Compare)

1991 E Ajo Way
Suite 149
Tucson, AZ 85713-6269
Phone (520) 325-4002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP049288TSCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodycentral Physical Therapy P C Single Specialty CurrentSince Nov 8, 2024 Accepting new patients
Bodycentral Physical Therapy PC CurrentSince Nov 8, 2024 Accepting new patients

Locations

1231 W Warner Rd
Ste 101
Tempe, AZ 85284
Phone (623) 250-3223

1991 E Ajo Way
Tucson, AZ 85713
Phone (520) 485-5454

1991 E Ajo Way
Ste 149
Tucson, AZ 85713
Phone (520) 485-5454

3124 N Swan Rd
Tucson, AZ 85712
Phone (520) 276-1274

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1508697384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 GOLDEN CANE DR FL 33327",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272425",
            "telephone_number": "954-790-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 E AJO WAY STE 149",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136269",
            "telephone_number": "520-485-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR RUIZ",
        "first_name": "SANTIAGO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP049288T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.