Tanya M Ruddy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010647 Issued in MI

Practice address

3939 Beecher Rd
Flint, MI 48504-3602

Phone

(810) 762-4682

Fax

(810) 762-4208

NPI assigned

Apr 30, 2007

Last updated

Sep 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Joint Effort Physical Therapy and Wellness LLC

  • Physical Therapist
  • Cheboygan, MI
  • NPI 1639960651
  Medicare reassignment NPD Authorized official
• Boike Medical Services PLLC

  • Neurology Physician
  • Flint, MI
  • NPI 1467645317
  NPD (past)
• Genesys Regional Medical Center

  dba Genesys Therapy Services

  • Physical Therapist
  • Grand Blanc, MI
  • NPI 1972643146
  NPD (past)

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1598985616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485043602",
            "telephone_number": "810-762-4682",
            "fax_number": "810-762-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDY",
        "first_name": "TANYA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RSH Wellness, LLC
• Brittany A Rubey, COTA/L
• Don Rubino, M.D.
• Ruby Services, LLC
• Erin Leigh Rucker, DPT
• Lisa Rudnick, LMSW
• Jennifer Christina Ruff
• Deborah Ann Ruffin-Logan
• Demerie Ruiz
• Jasmine Rulason

• Physical Therapist in Flint, MI
• Providers in Flint, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.