Elizabeth Audrey Ruckert, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305207257 Issued in VA

Practice address

5249 Duke St
Suite 203
Alexandria, VA 22304-2926

Phone

(703) 370-2970

NPI assigned

Feb 21, 2012

Last updated

Feb 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Luna Care Physical Therapy LLCGroup PAC ID 0941615405, 89 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Virginia Luna Care Physical Therapy LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1235720848

  DC

  Medicare reassignment Care Compare group
• DC Luna Care Physical Therapy LLC

  • Physical Therapist
  • Washington, DC
  • NPI 1427638832
  Medicare reassignment NPD
• Making Progress

  • Neurology Physical Therapist
  • Alexandria, VA
  • NPI 1275854960
  NPD (past)

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1578836557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N VERMONT ST",
            "address_2": "APT #409",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222014763",
            "telephone_number": "703-243-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST",
            "address_2": "SUITE 203",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042926",
            "telephone_number": "703-370-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKERT",
        "first_name": "ELIZABETH",
        "middle_name": "AUDREY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207257",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "VA",
            "license": "2305207257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Alan Royfe, M.D.
• Sherry A Royster, ED.D.
• Natalie Rubenstein
• Lawrence R. Rubin, M.D.
• Maricel-Joy F Rubio, LPC
• Amy Rueffert
• Lucy Ruetiman, MS, CNS
• Mary Ellen Ruff, LPC, ATR-BC
• Melissa Leilani Ruiz, BCABA
• Rumi Counseling LLC

• Physical Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.

Verify at the official NPI Registry.