Individual provider Active NPI

Heather Johanna Ruiz, DPT

  • Physical Therapist
  • Powell, OH
National Provider Identifier
1669751913
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019157 Issued in OH
Practice address
10401 Sawmill Pkwy Ste B
Powell, OH 43065-7451
Phone
(380) 390-4540
Fax
(614) 360-3806
NPI assigned
Aug 4, 2011
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01402800 NJ
Physical Therapist 225100000X FL
Physical Therapist 225100000X PT019157 OH Primary

Addresses

Primary practice location

10401 Sawmill Pkwy Ste B
Powell, OH 43065-7451

Mailing address

10401 Sawmill Pkwy Ste B
Powell, OH 43065-7451
Phone (380) 390-4540

Other practice location 1

1199 Pleasant Valley Way
West Orange, NJ 07052-1424
Phone (973) 414-4755

Other practice location 2

10607 Sheldon Rd
Tampa, FL 33626-5114
Phone (813) 792-1531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210709001949 OH Practitioner - Physical Therapist in Private Practice 1557763711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
City University of New York School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohrh, LLCGroup PAC ID 5991942898, 154 clinicians

Practice addresses (Care Compare)

10401 Sawmill Pkwy
Powell, OH 43065-7451
Phone (740) 615-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01402800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohrh, LLC CurrentSince May 6, 2021 Accepting new patients
Ohrh, LLC Physical Therapist CurrentSince May 6, 2021 Accepting new patients
Ohrh, LLC Current Accepting new patients
Ohiohealth Corporation PastSince Jun 6, 2021 Accepting new patients

Locations

6021 Cleveland Ave
Columbus, OH 43231
Phone (614) 895-1090

10401 Sawmill Pkwy
Powell, OH 43065
Phone (614) 685-2805

10401 Sawmill Pkwy
Ste B
Powell, OH 43065
Phone (380) 390-4540

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1669751913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 SAWMILL PKWY STE B",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657451",
            "telephone_number": "380-390-4540",
            "fax_number": "614-360-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 SAWMILL PKWY STE B",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657451",
            "telephone_number": "380-390-4540",
            "fax_number": "614-360-3806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 Pleasant Valley Way",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070521424",
            "country_code": "US",
            "telephone_number": "973-414-4755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10607 Sheldon Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336265114",
            "country_code": "US",
            "telephone_number": "813-792-1531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "HEATHER",
        "middle_name": "JOHANNA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01402800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.