Active NPI
Jason Ruch
- Physical Therapy Assistant
- Owings Mills, MD
National Provider Identifier
1740862507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A4084
- Practice address
- 4 Park Center CT
Owings Mills, MD 21117-5611 - Phone
- (410) 377-8900
- NPI assigned
- Apr 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A4084 | MD | Primary |
Addresses
Primary practice location
4 Park Center CT
Owings Mills, MD 21117-5611
Mailing address
2399 Walden Way
Marriottsville, MD 21104-1068
Phone (410) 967-7139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A4084 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1740862507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2399 WALDEN WAY",
"city": "MARRIOTTSVILLE",
"state": "MD",
"postal_code": "211041068",
"telephone_number": "410-967-7139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PARK CENTER CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175611",
"telephone_number": "410-377-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCH",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-22",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A4084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.