Individual provider Active NPI

Eugenia Ruiz, OCCUPATIONAL THERAPY

  • Occupational Therapist
  • Hallandale Beach, FL
National Provider Identifier
1679592091
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2160 Issued in FL
Practice address
2500 E Hallandale Beach Blvd
Suite 611
Hallandale Beach, FL 33009-4834
Phone
(954) 454-2345
Fax
(954) 457-8242
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT2160 FL Primary

Addresses

Primary practice location

2500 E Hallandale Beach Blvd
Suite 611
Hallandale Beach, FL 33009-4834

Mailing address

6652 NW 42ND Ave
Coconut Creek, FL 33073-2020
Phone (954) 421-3587

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

LicenseStateTypeSpecialty
OT2160FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679592091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6652 NW 42ND AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732020",
            "telephone_number": "954-421-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 611",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094834",
            "telephone_number": "954-454-2345",
            "fax_number": "954-457-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "EUGENIA",
        "credential": "OCCUPATIONAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT2160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.