Individual provider Active NPI

Raymond Phillip Ruiz, PT, DPT

  • Physical Therapist
  • Corona, CA
National Provider Identifier
1851047914
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301786 Issued in CA
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

Updated by the provider on Feb 28, 2022

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 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

Enrollment IDStateProvider typePAC IDDetails
I20220309001745 CA Practitioner - Physical Therapist in Private Practice 6800281817 Reassigns benefits to 2 organizations

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
Citrus Valley Physical Therapy IncGroup PAC ID 8820466105, 5 clinicians

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

OrganizationSpecialtyStatusNew patients
Bodybasics Physical Therapy, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Citrus Valley Physical Therapy Inc Physical Therapist CurrentSince Jul 18, 2023 Accepting new patients
Newbody Inc CurrentSince Aug 15, 2024 Accepting new patients
Bodybasics Physical Therapy, Inc. PastSince Mar 1, 2022 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.

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.

Verify at the official NPI Registry.