Active NPI
Carolyn Ingrid Ruiz, PHYSICAL THERAPIST
- Physical Therapist
- Saint Joseph, MO
National Provider Identifier
1619318706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 108235
- Practice address
- 3002 N 18TH St
Saint Joseph, MO 64505-1872 - Phone
- (816) 364-4200
- NPI assigned
- Jul 17, 2013
- Sex
- Female
- 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 | 108235 | MO | Primary |
Addresses
Primary practice location
3002 N 18TH St
Saint Joseph, MO 64505-1872
Mailing address
605 N 12TH St
Saint Joseph, MO 64501-1830
Phone (913) 326-0190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108235 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1619318706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 N 12TH ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645011830",
"telephone_number": "913-326-0190",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 N 18TH ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645051872",
"telephone_number": "816-364-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "CAROLYN",
"middle_name": "INGRID",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "108235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
- Chase Chapman Rosser, STUDENT
- David Rowland, MSW, LCSW
- Roy Ronold Rubnke, PHD
- Mark Rucker, PHARM.D.
- Lisa Noelle Ruckman, M.D.
- Seth Rush
- George Robert Ruwwe Jr., DDS
- Ryan H. Holmes, D.C., P.C. (Holmes Clinic of Chiropractic)
- Ryan M. Walker, DDS, PC (Northwest Endodontics)
- Sacred Heart Home Healthcare Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.