Caroline Kirkland Ruffin Tucker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305208831 Issued in VA

Practice address

1120 First Colonial Rd Ste 101
Virginia Beach, VA 23454

Phone

(757) 455-5000

Fax

(757) 319-4142

NPI assigned

Aug 6, 2014

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

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restorative Therapy Company LLCGroup PAC ID 2567794084, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restorative Therapy Company LLC

  • Physical Therapy Clinic/Center
  • Virginia Beach, VA
  • NPI 1902454564

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• JP Therapy, LLC

  • Physical Rehabilitation Occupational Therapist
  • Virginia Beach, VA
  • NPI 1851770598
  Medicare reassignment NPD
• Functional Pathways Preferred of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841561446

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1679982391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 VIRGINIA BEACH BLVD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625631",
            "telephone_number": "757-455-5000",
            "fax_number": "757-319-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 FIRST COLONIAL RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23454",
            "telephone_number": "757-455-5000",
            "fax_number": "757-319-4142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 Kempsville Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235022205",
            "country_code": "US",
            "telephone_number": "757-461-5001 x389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CAROLINE",
        "middle_name": "KIRKLAND RUFFIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Tsuala Maufor
• Sarah Brock Tubaugh, LCSW
• Kate Tubbs, LPC
• Anshelle Tucker, DMD
• Brittany Tucker, CLD
• Courtney Lynn Tucker
• Isa'Nekqua Alexandra Tucker
• Latroya Martin Tucker, LCSW
• Ruby M Tucker, M.D.
• William W Tucker, LPC, CSAC

• Physical Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.