Kailey Jo Ruffilo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016935 Issued in MI

Practice address

150 Jefferson Ave SE Ste 100
Grand Rapids, MI 49503-4306

Phone

(616) 356-5000

NPI assigned

Nov 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kailey Patterson Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Advent Rehabilitation, LLC

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1780639658
  Medicare reassignment NPD
• Alliance Physical Therapy Group LLC

  • Physical Therapist
  • Holland, MI
  • NPI 1649216144
  Medicare reassignment NPD
• Advent Rehabilitation, LLC

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1437923729
  NPD
• Star Physical Therapy LP

  • Physical Therapist
  • Caruthersville, MO
  • NPI 1073375861
  NPD (past)
• Star Physical Therapy LP

  • Rehabilitation Clinic/Center
  • Bolivar, TN
  • NPI 1417404351
  NPD (past)

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1811394893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 DEWEY AVE NW",
            "address_2": "STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045283",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 JEFFERSON AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034306",
            "telephone_number": "616-356-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Luther Rd",
            "address_2": "Ste.6",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370552112",
            "country_code": "US",
            "telephone_number": "615-740-9782",
            "fax_number": "615-740-8510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFFILO",
        "first_name": "KAILEY",
        "middle_name": "JO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILEY",
            "last_name": "PATTERSON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Ruedinger, LLMSW
• Ruf Psychology Services
• Brooke M Ruf, PHD
• Avery Rufenacht
• Frederick M Ruffer, D.D.S.
• Anna Ruffin, ASSOCIATE CADC
• Jennifer Ruffin, BCBA
• Renita Ruffin
• Hannah Grace Ruger
• Kaitlyn Elizabeth Ruger, LMSW

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.