Susan Ruck, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

003115-1 Issued in NY

Practice address

5 Russell CT
Northport, NY 11768-3522

Phone

(631) 258-6612

Fax

(631) 757-0811

NPI assigned

Aug 31, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Ruck Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1699081471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RUSSELL CT",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683522",
            "telephone_number": "631-258-6612",
            "fax_number": "631-757-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RUSSELL CT",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683522",
            "telephone_number": "631-258-6612",
            "fax_number": "631-757-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCK",
        "first_name": "SUSAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "003115-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "RUCK",
            "credential": "P.T.P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rowan Health Corporation
• Ranjan Roy, M.D.
• Royalbodi Massage and Beauty
• Jeffrey S Rubin, DDS
• Ariel Rubinstein, LMSW
• Ariana Ruggero
• Amanda Nicole Ryan
• Maria Sagona-Dougherty, RN NP
• Madhumita Saikia, MD
• John Sammis, D.O.

• Pediatric Physical Therapist in Northport, NY
• Providers in Northport, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.