Samuel Rugg, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042082 Issued in NY

Practice address

490 Collins St
Avon, NY 14414-1466

Phone

(585) 226-2480

NPI assigned

Aug 5, 2018

Last updated

Apr 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lattimore of Geneseo Physical Therapy PC

  dba Avon Physical Therapy

  • Physical Therapist
  • Avon, NY
  • NPI 1134256985
  NPD (past)
• Accentcare Home Health of California, Inc.

  • Home Health Agency
  • Pleasant Hill, CA
  • NPI 1396791307
  NPD (past)
• Accentcare Home Health of California, Inc.

  • Home Health Agency
  • Redding, CA
  • NPI 1992751382
  NPD (past)
• Carnahan Therapy the Work Center, Inc.

  • Occupational Therapist
  • Lompoc, CA
  • NPI 1407970791
  NPD (past)

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1578041141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145060725",
            "telephone_number": "585-582-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 COLLINS ST",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144141466",
            "telephone_number": "585-226-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 4th St",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "CA",
            "postal_code": "960212508",
            "country_code": "US",
            "telephone_number": "530-824-1799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUGG",
        "first_name": "SAMUEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-05",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294344",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60870417",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211574",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8784",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17676",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorene Palmer
• Diana Marie Ray, LMHC-D
• Ian Read
• Marissa Anna Redmond
• Theresa M Rosa, LPN
• Richard Lynn Schillinger, DDS
• Kelly J. Schirmer, M.A., CCC-SLP
• Carol Schrader, RN
• Laurie C. Schreiber, OPTICIAN
• Amanda Shaw, ATC

• Physical Therapist in Avon, NY
• Providers in Avon, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.