Nadine Rucker, PT-A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 19850 Issued in ZZ

Practice address

5524 NW Cordrey St
Port St Lucie, FL 34986-3924

Phone

(772) 464-3303

NPI assigned

Dec 12, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1649601808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 NW CORDREY ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 NW CORDREY ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863924",
            "telephone_number": "772-464-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "NADINE",
        "credential": "PT-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ZZ",
            "license": "PTA 19850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royalty First LLC
• Royalty First Too LLC
• Elizabeth A Royer, MA-CCC-A
• Forrest Scot Rubenstein, M.D.
• Debbie J Rubio, RD
• Whitney A Ruddock, PHARMD
• Sonya Rue
• Naomi Ruehlman
• John C Ruggian, MD
• Robert Ruiz, MA, LPC

• Physical Therapy Assistant in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.