Active NPI
Tracy R. Ruggles, P.T.
- Physical Therapist
- Dothan, AL
National Provider Identifier
1538268933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH6786
- Practice address
- 512 N Shady LN
Dothan, AL 36303-2991 - Phone
- (334) 255-7179
- NPI assigned
- Sep 22, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 115572 | MO | |
| Physical Therapist | 225100000X | 1144616 | TX | |
| Physical Therapist | 225100000X | PTH6786 | AL | Primary |
Addresses
Primary practice location
512 N Shady LN
Dothan, AL 36303-2991
Mailing address
PO Box 370
Fortson, GA 31808-0370
Phone (706) 494-3071
Other names 1
- Mrs. Tracy R Bradshaw
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
161 E University Dr
Auburn, AL 36832-5889
Phone (334) 826-2090
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH6786 | AL | MD | Physical Therapist |
| 115572 | MO | MD | Physical Therapist |
| 1144616 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hughston Clinic, P.C. | Current | Accepting new patients | |
| Hughston Clinic, PC | Current | Accepting new patients | |
| Neches Rehabilitation and Testing Inc | Past | Accepting new patients |
Locations
161 E University Dr
Auburn, AL 36832
Phone (334) 699-5747
512 N Shady Ln
Dothan, AL 36303
Phone (334) 669-5747
Interoperability endpoints
- tracy.ruggles.1@321.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Newnan, GA
- NPI 1902682347
-
- Chiropractor
- Beaumont, TX
- NPI 1760404727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1538268933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "FORTSON",
"state": "GA",
"postal_code": "318080370",
"telephone_number": "706-494-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 N SHADY LN",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363032991",
"telephone_number": "334-255-7179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGGLES",
"first_name": "TRACY",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "115572",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1144616",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH6786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "BRADSHAW",
"middle_name": "R",
"prefix": "MRS.",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.