Active NPI
Raymond Phillip Ruiz, PT, DPT
- Physical Therapist
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 301786
- Practice address
- 2275 S Main St
St 102
Corona, CA 92882 - Phone
- (951) 273-7742
- NPI assigned
- Feb 28, 2022
- 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 Therapist | 225100000X | 301786 | CA | Primary |
Addresses
Primary practice location
2275 S Main St
St 102
Corona, CA 92882
Mailing address
2275 S Main St
St 102
Corona, CA 92882
Phone (951) 273-7742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2079 Orange Tree LN
Redlands, CA 92374-2849
Phone (909) 435-5729
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodybasics Physical Therapy, Inc. | Current | Accepting new patients | |
| Citrus Valley Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Newbody Inc | Current | Accepting new patients | |
| Bodybasics Physical Therapy, Inc. | Past | Accepting new patients |
Locations
2275 S Main St
Ste 102
Corona, CA 92882
Phone (951) 273-7742
3178 Hamner Ave
Ste 4
Norco, CA 92860
Phone (951) 736-5646
2079 Orange Tree Ln
Redlands, CA 92374
Phone (909) 353-7053
Organizations & group practices 4
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.
-
dba Citrus Valley Physical Therapy and Wellness Center
- Physical Therapist
- Redlands, CA
- NPI 1740957521
-
dba Body Basics Physical Therapy
- Physical Therapy Clinic/Center
- Norco, CA
- NPI 1487651097
-
- Registered Dietitian
- Redlands, CA
- NPI 1578334769
-
dba Body Basics Physical Therapy
- Physical Therapy Clinic/Center
- Corona, CA
- NPI 1194904243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1851047914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 S MAIN ST",
"address_2": "ST 102",
"city": "CORONA",
"state": "CA",
"postal_code": "92882",
"telephone_number": "951-273-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 S MAIN ST",
"address_2": "ST 102",
"city": "CORONA",
"state": "CA",
"postal_code": "92882",
"telephone_number": "951-273-7742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "RAYMOND",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "301786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.