Active NPI
Brandon Jornel Ruiz, DPT
- Physical Therapist
- Holly Springs, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P22121
- Practice address
- 500 Village Walk Dr
Holly Springs, NC 27540-4440 - Phone
- (919) 258-2200
- NPI assigned
- Mar 29, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P22121 | NC | Primary |
Addresses
Primary practice location
500 Village Walk Dr
Holly Springs, NC 27540-4440
Mailing address
500 Village Walk Dr
Holly Springs, NC 27540-4440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1129 E Marion St
Shelby, NC 28150-4843
Phone (704) 471-0001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab North Carolina LLC | Current | Accepting new patients | |
| Wickham Health and Wellness | Physical Therapist | Current | Accepting new patients |
| Sports & More Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab North Carolina LLC | Physical Therapist | Current | Accepting new patients |
Locations
9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330
5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958
1125 W NC Highway 54
Ste 503
Durham, NC 27707
Phone (803) 351-8937
500 Village Walk Dr
Holly Springs, NC 27540
Phone (919) 258-2200
8300 Health Park
Ste 127
Raleigh, NC 27615
Phone (919) 845-6160
1129 E Marion St
Shelby, NC 28150
Phone (704) 471-0001
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1629568647
Physical Therapist
-
- Physical Therapist
- Raleigh, NC
- NPI 1134229669
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1528683935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1548964844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 VILLAGE WALK DR",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275404440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 VILLAGE WALK DR",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275404440",
"telephone_number": "919-258-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "BRANDON",
"middle_name": "JORNEL",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-29",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.