Active NPI
Jonathon Rulseh
- Physical Therapy Assistant
- Ironwood, MI
National Provider Identifier
1891319661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502003676
- Practice address
- 10561 Grandview LN
Ironwood, MI 49938 - Phone
- (906) 932-5990
- NPI assigned
- Jun 8, 2020
- Last updated
- Jun 8, 2020
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 5502003676 | MI | Primary |
Addresses
Primary practice location
10561 Grandview LN
Ironwood, MI 49938
Mailing address
10561 Grandview Lane
Ironwood, MI 49938
Phone (906) 580-0549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502003676 | MI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1891319661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10561 GRANDVIEW LANE",
"city": "IRONWOOD",
"state": "MI",
"postal_code": "49938",
"telephone_number": "906-580-0549",
"fax_number": "906-932-4153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10561 GRANDVIEW LN",
"city": "IRONWOOD",
"state": "MI",
"postal_code": "49938",
"telephone_number": "906-932-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RULSEH",
"first_name": "JONATHON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-08",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502003676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ironwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.