Active NPI
Ruthanne Kouri, OTRL
- Occupational Therapist
- Plantation, FL
National Provider Identifier
1508990219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7444
- Practice address
- 8255 W Sunrise Blvd
Plantation, FL 33322 - Phone
- (954) 242-7747
- Fax
- (954) 989-3786
- NPI assigned
- Mar 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7444 | FL | Primary |
Addresses
Primary practice location
8255 W Sunrise Blvd
Plantation, FL 33322
Mailing address
4415 Taylor St
Hollywood, FL 33021
Phone (954) 242-7747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z023D | Other | FL | BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071020000164 | FL | Practitioner - Occupational Therapist in Private Practice | 8426144502 | Practice locations: Hollywood, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7444 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1508990219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 TAYLOR ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33021",
"telephone_number": "954-242-7747",
"fax_number": "954-989-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8255 W SUNRISE BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "33322",
"telephone_number": "954-242-7747",
"fax_number": "954-989-3786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOURI",
"first_name": "RUTHANNE",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "7444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "Z023D",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.