Ruby Alexa Ciesinski, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019098 Issued in OH

Practice address

4931 Nettleton Rd
Medina, OH 44256-5353

Phone

(330) 721-3000

NPI assigned

Feb 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Empowerme Rehabilitation Illinois LLCGroup PAC ID 2365718277, 361 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Bedford, OH
  • NPI 1689194755
  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation Illinois, LLC

  • Multi-Specialty Clinic/Center
  • Mentor, OH
  • NPI 1528652096
  Medicare reassignment Care Compare group
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1891389417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 WEYMOUTH RD",
            "city": "HINCKLEY",
            "state": "OH",
            "postal_code": "442339510",
            "telephone_number": "330-241-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 NETTLETON RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565353",
            "telephone_number": "330-721-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESINSKI",
        "first_name": "RUBY",
        "middle_name": "ALEXA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eve Chipman, BCBA
• Debbie Ann Christy
• Megan Chronister
• Tabitha Churchill, LPN
• Bridget Chylik
• Janet Marie Clark, OTRL
• Mary Caitlyn Clark
• Taneisha Clark
• Clarkson Optometry Midwest Inc
• Lisa Claus

• Physical Therapist in Medina, OH
• Providers in Medina, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.