Jared Ruddy
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pfafftown, NC
NPI 1669348603 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1669348603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1480 Turfwood Dr
Pfafftown, NC 27040-9515 - Phone
- (717) 253-4984
- NPI assigned
- Oct 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NC | Yes |
Addresses
Primary practice location
1480 Turfwood Dr
Pfafftown, NC 27040-9515
Mailing address
1480 Turfwood Dr
Pfafftown, NC 27040-9515
Phone (717) 253-4984
Other providers in Pfafftown, NC
- Ortho Spine and Pain Physical Therapy
- Pediatric Therapyworks, Inc
- Melanie Piper
- Najaila Polite
- Megan Rose
- Lorie Wagner Shelton
- Cristina Jane Sorensen
- John Edward Stewart
- Alex J Stovall
- Sherita Grace Eastmon Sutton
All providers in Pfafftown, NC · Student in an Organized Health Care Education/Training Program in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.