Active NPI
Jolene Anna Rugg, PT, DPT
- Physical Therapist
- Mount Morris, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042187
- Practice address
- 5871 Groveland Station Rd
Mount Morris, NY 14510-9767 - Phone
- (585) 658-4023
- NPI assigned
- Mar 19, 2020
- 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 | PT60870492 | WA | |
| Physical Therapist | 225100000X | 042187 | NY | Primary |
Addresses
Primary practice location
5871 Groveland Station Rd
Mount Morris, NY 14510-9767
Mailing address
4130 Hogmire Rd
Avon, NY 14414-9752
Other practice location 1
1315 W Yelm Ave
Yelm, WA 98597-9449
Phone (360) 458-7777
Other practice location 2
16525 100th Way SE
Yelm, WA 98597-9629
Phone (360) 458-4800
Other practice location 3
13849 Yelm Hwy SE
Yelm, WA 98597-8761
Phone (360) 458-2500
Other practice location 4
10605 Carter St SE
Yelm, WA 98597-8486
Phone (360) 458-1100
Other practice location 5
909 Mill Rd SE
Yelm, WA 98597-8572
Phone (360) 458-3400
Other practice location 6
35120 Wa-507
Roy, WA 98580
Phone (360) 458-2400
Other practice location 7
16240 Bald Hill Rd SE
Yelm, WA 98597-8951
Phone (360) 894-6000
Other practice location 8
16535 110th Ave SE
Yelm, WA 98597-9638
Phone (360) 458-3700
Other names 1
- Jolene Anna Barrett
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 |
|---|---|---|---|
| 042187 | NY | MD | Pharmacist |
| PT60870492 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community Based Hospice Care Agency
- Mount Morris, NY
- NPI 1326060724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1912533274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 HOGMIRE RD",
"city": "AVON",
"state": "NY",
"postal_code": "144149752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5871 GROVELAND STATION RD",
"city": "MOUNT MORRIS",
"state": "NY",
"postal_code": "145109767",
"telephone_number": "585-658-4023"
}
],
"practiceLocations": [
{
"address_1": "1315 W Yelm Ave",
"address_purpose": "LOCATION",
"city": "Yelm",
"state": "WA",
"postal_code": "985979449",
"country_code": "US",
"telephone_number": "360-458-7777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16525 100th Way SE",
"address_purpose": "LOCATION",
"city": "Yelm",
"state": "WA",
"postal_code": "985979629",
"country_code": "US",
"telephone_number": "360-458-4800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13849 Yelm Hwy SE",
"address_purpose": "LOCATION",
"city": "Yelm",
"state": "WA",
"postal_code": "985978761",
"country_code": "US",
"telephone_number": "360-458-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10605 Carter St SE",
"address_purpose": "LOCATION",
"city": "Yelm",
"state": "WA",
"postal_code": "985978486",
"country_code": "US",
"telephone_number": "360-458-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "909 Mill Rd SE",
"address_purpose": "LOCATION",
"city": "Yelm",
"state": "WA",
"postal_code": "985978572",
"country_code": "US",
"telephone_number": "360-458-3400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35120 WA-507",
"address_purpose": "LOCATION",
"city": "Roy",
"state": "WA",
"postal_code": "98580",
"country_code": "US",
"telephone_number": "360-458-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16240 Bald Hill Rd SE",
"address_purpose": "LOCATION",
"city": "Yelm",
"state": "WA",
"postal_code": "985978951",
"country_code": "US",
"telephone_number": "360-894-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16535 110th Ave SE",
"address_purpose": "LOCATION",
"city": "Yelm",
"state": "WA",
"postal_code": "985979638",
"country_code": "US",
"telephone_number": "360-458-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUGG",
"first_name": "JOLENE",
"middle_name": "ANNA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-19",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60870492",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOLENE",
"last_name": "BARRETT",
"middle_name": "ANNA",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mount Morris, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.