Individual provider Active NPI

Jolene Anna Rugg, PT, DPT

  • Physical Therapist
  • Mount Morris, NY
National Provider Identifier
1912533274
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042187 Issued in NY
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

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
042187NYMDPharmacist
PT60870492WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston County PastSince Sep 27, 2020 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.

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.

Verify at the official NPI Registry.