Kyle P Ruygrok, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1336136 Issued in TX

Practice address

9522 N Sam Houston Pkwy E Ste 2330
Humble, TX 77396-4695

Phone

(713) 814-2510

NPI assigned

Aug 5, 2021

Sex

Male

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

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1659045342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 CRAWFORD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770041119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 N SAM HOUSTON PKWY E STE 2330",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964695",
            "telephone_number": "713-814-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUYGROK",
        "first_name": "KYLE",
        "middle_name": "P",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1336136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christan Depaul Russell
• Joycelyn Russell, LPC
• Amanda Russo, APRN NP-C
• Katie Russo, RD, LD
• Stuart F Rutledge, D.C.
• Chris Adam Ryan, ATP
• Denise Ryan, NP-C
• Rye Power Health
• S J Medical Services
• S R Surgical Center, PA

• Physical Therapist in Humble, TX
• Providers in Humble, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.