Individual provider Active NPI

Roslyn Clarissa Cyrus Rukus, MS, OTR/L

  • Specialist
  • Laurel, MD
National Provider Identifier
1508870478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
05219 Issued in MD
Practice address
7510 Contee Rd
Laurel, MD 20707-9244
Phone
(301) 725-4112
Fax
(301) 725-0936
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 05219 MD Primary

Addresses

Primary practice location

7510 Contee Rd
Laurel, MD 20707-9244

Mailing address

7510 Contee Rd
Laurel, MD 20707-9244
Phone (301) 725-4112

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
05219MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Acheive Independance With Rehabilitation, LLC Past Accepting new patients
Earth Angels Inc. Outpatient Rehab 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508870478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 CONTEE RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079244",
            "telephone_number": "301-725-4112",
            "fax_number": "301-725-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 CONTEE RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079244",
            "telephone_number": "301-725-4112",
            "fax_number": "301-725-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYRUS RUKUS",
        "first_name": "ROSLYN",
        "middle_name": "CLARISSA",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "05219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.