Chandler P Ruterbusch, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32618 Issued in FL

Practice address

3627 University Blvd S Ste 550
Jacksonville, FL 32216-7401

Phone

(904) 570-8604

Fax

(904) 458-4819

NPI assigned

Jul 28, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Baylife Physical Therapy & Rehabilitation Inc

  • Physical Therapist
  • St Petersburg, FL
  • NPI 1760401434

  Single Specialty

  Medicare reassignment NPD
• Hughston Orthopaedic Southeast PC

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1568914026

  FL, Single Specialty

  Medicare reassignment NPD
• Hughston Orthopaedic Southeast PC

  • Durable Medical Equipment & Medical Supplies
  • Deland, FL
  • NPI 1659068377
  NPD
• Baylife Physical Therapy & Rehabilitation, Inc.

  • Specialist
  • Seminole, FL
  • NPI 1356747315
  NPD (past)
• Cora Health Services Inc

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1972989630
  NPD (past)
• Cora Health Services, Inc

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Shalimar, FL
  • NPI 1407382278
  NPD (past)

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1689198871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 550",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322167401",
            "telephone_number": "904-570-8604",
            "fax_number": "904-458-4819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6262 Veterans Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319093540",
            "country_code": "US",
            "telephone_number": "706-324-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTERBUSCH",
        "first_name": "CHANDLER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-28",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015096",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arles L Rustia, CRNA
• Hannah Czarina Rustia, DMD
• Janet Rustia, CRNA
• Ruston L Hess
• Michael Scott Rutenberg, M.D., PH.D.
• Hailey Rutledge, PHARMD
• Toby K Rutledge, PHARMD
• Tracie Claudice Rutledge, ARNP
• Amy Rutt, DO
• Alyssa Ruvoli

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.