Kelly Susan Hebert-Ruggio, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3135 Issued in NH

Practice address

1850 Elm St
Manchester, NH 03104-2911

Phone

(603) 491-6923

NPI assigned

Aug 5, 2006

Sex

Female

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 NH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back to Balance Physical Therapy LLCGroup PAC ID 4082029202, 2 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 and National Provider Directory roles.

• Back to Balance Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Manchester, NH
  • NPI 1255935888
  Medicare reassignment Care Compare group NPD Authorized official
• Granite State Physical Therapy Hooksett PLLC

  • Physical Therapist
  • Hooksett, NH
  • NPI 1437218872
  Medicare reassignment NPD
• Accelerated Rehabilitation Centers LTD

  • Physical Therapist
  • Westmont, IL
  • NPI 1205875713
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1790794493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND ST",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061432",
            "telephone_number": "603-491-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042911",
            "telephone_number": "603-491-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Beacon St Ste 6C",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024463806",
            "country_code": "US",
            "telephone_number": "617-730-5337",
            "fax_number": "617-730-5461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERT-RUGGIO",
        "first_name": "KELLY",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17616",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearing Improvement Center LLC
• Heart and Home Care Services LLC
• Hearty Smiles PC
• Shannon Heavey, APRN
• Elizabeth Ann Heberling
• Christina J Hebert, CSFA
• Emily Irene Hebert, RN
• Erin Hebert, APRN
• Gregory V Hebert, M.D.
• Mary Elizabeth Hebert, RN

• Physical Therapist in Manchester, NH
• Providers in Manchester, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.