Individual provider Active NPI

Aimee Elizabeth Ruiz

  • Physical Therapist
  • Boerne, TX
National Provider Identifier
1831873827
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1376780 Issued in TX
Practice address
904 E Blanco Rd
Boerne, TX 78006-1710
Phone
(830) 331-1114
Fax
(830) 331-1124
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1376780 TX Primary

Addresses

Primary practice location

904 E Blanco Rd
Boerne, TX 78006-1710

Mailing address

10415 State Highway 151 Ste 101
San Antonio, TX 78251-4553
Phone (210) 647-1167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926003189 TX Practitioner - Physical Therapist in Private Practice 6305290289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promotion Physical Therapy, P.C.Group PAC ID 9335164474, 19 clinicians

Practice addresses (Care Compare)

904 E Blanco Rd
Boerne, TX 78006-1710
Phone (830) 331-1114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Promotion Physical Therapy, P.C. Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients

Locations

904 E Blanco Rd
Boerne, TX 78006
Phone (830) 331-1114

10415 State Highway 151
San Antonio, TX 78251
Phone (210) 479-3334

10415 State Highway 151
Ste 101
San Antonio, TX 78251
Phone (210) 647-1167

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1831873827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 STATE HIGHWAY 151 STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514553",
            "telephone_number": "210-647-1167",
            "fax_number": "210-647-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E BLANCO RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061710",
            "telephone_number": "830-331-1114",
            "fax_number": "830-331-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "AIMEE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1376780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.