Robert Jay Ruiz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-014396 Issued in AZ

Practice address

10165 E Hampton Ave Ste 111
Mesa, AZ 85209-3327

Phone

(480) 354-5424

NPI assigned

Nov 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1548927833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W BROADWAY RD APT 2014",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852108461",
            "telephone_number": "928-216-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10165 E HAMPTON AVE STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093327",
            "telephone_number": "480-354-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ROBERT",
        "middle_name": "JAY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-21",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-014396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rjruiz1999@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10165 E Hampton Ave Ste 111",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852093327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adrian A Ruiz, RN
• Cinthia Ruiz
• Darling Ruiz
• Evelyn Ruiz
• Patricia Ruiz
• Salvador Kamanu Ruiz III, PA-C
• Malaura Kathleen Ruizesparza, CPM, LM
• John Peter Rukavena, PHARMD
• J. Greg Rula, M.D.
• Rumar Healthcare

• Physical Therapy Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; 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.