Ruth Sunshine Wagner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17757 Issued in MA

Practice address

57 Main St
Sturbridge, MA 01566-1283

Phone

(508) 347-7550

Fax

(508) 347-7559

NPI assigned

Feb 20, 2007

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

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Hubbard Physical Therapy LLCGroup PAC ID 1850619420, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hubbard Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Sturbridge, MA
  • NPI 1922405703

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1710022405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661283",
            "telephone_number": "508-347-7550",
            "fax_number": "508-347-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661283",
            "telephone_number": "508-347-7550",
            "fax_number": "508-347-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "RUTH",
        "middle_name": "SUNSHINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venture Community Services
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• Village Nutrition LLC
• Kayleen Viner
• Courtney Volesky
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2797)
• Walgreen Co (Walgreens #19506)
• Jomarie Angelica Watson-Malave, LSW
• Maegan Mary Whamond
• Cheryl Wilbur, PT

• Physical Therapist in Sturbridge, MA
• Providers in Sturbridge, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.