Lyndsay Kay Ruckle, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019579 Issued in MI

Practice address

4000 Eastern Sky Dr
Traverse City, MI 49684-7351

Phone

(231) 932-9014

Fax

(231) 932-9034

NPI assigned

Jun 24, 2020

Last updated

Sep 10, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Northsport Physical Therapy & Rehabilitation P C

  • Physical Therapist
  • Gaylord, MI
  • NPI 1942387733
  NPD (past)
• Northsport Physical Therapy & Rehabilitation PC

  • Physical Therapist
  • Fairview, MI
  • NPI 1003253170
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1699391656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 BARTLETT LAKE TRL",
            "city": "BUCKLEY",
            "state": "MI",
            "postal_code": "496209440",
            "telephone_number": "989-339-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EASTERN SKY DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847351",
            "telephone_number": "231-932-9014",
            "fax_number": "231-932-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKLE",
        "first_name": "LYNDSAY",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sallee Roush, P.T.
• Nathan Rousse, C.N.P.
• Donald Edward Routzahn, RPH
• Emily Elise Ruby, LPC
• Joshua Michael Ruch, M.D.
• Signe Lynn Ruddy, LBSW
• Tracy Ann Ruegsegger, DDS PC
• Tammy Ruemenapp, BCBA
• Frank C Rugani, DDS
• Stacy Ruhland, DC

• Physical Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.