Active NPI
Elaine Alrutz, PT
- Physical Therapist
- Mammoth Lakes, CA
National Provider Identifier
1861969370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12748
- Practice address
- 85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073 - Phone
- (760) 934-7302
- Fax
- (760) 934-1779
- NPI assigned
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7512 | HI | |
| Physical Therapist | 225100000X | 12748 | CA | Primary |
Addresses
Primary practice location
85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Mailing address
85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Phone (760) 934-7302
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Mahoealrutz@mammothhospital.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230530001957 | CA | Practitioner - Physical Therapist in Private Practice | 7719344100 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Mono Health Care District
Practice addresses (Care Compare)
85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Phone (760) 934-3311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12748 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 7512 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Mono Health Care District | Current | Accepting new patients |
Interoperability endpoints
- mahoealrutz@mammothhospital.cernerdirect.com
Organizations & group practices 2
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.
-
- Critical Access Hospital Clinic/Center
- Mammoth Lakes, CA
- NPI 1962444059
CA
-
- Rural Acute Care Hospital
- Mammoth Lakes, CA
- NPI 1053456400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1861969370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 SIERRA PARK RD",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "935462073",
"telephone_number": "760-934-7302",
"fax_number": "760-934-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SIERRA PARK RD",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "935462073",
"telephone_number": "760-934-7302",
"fax_number": "760-934-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALRUTZ",
"first_name": "ELAINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "7512",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "12748",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Mahoealrutz@mammothhospital.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Mammoth Hospital Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "85 Sierra Park Rd",
"city": "Mammoth Lakes",
"state": "CA",
"country_code": "US",
"postal_code": "935462073",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mammoth Lakes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.