Active NPI
Matthew Ruane, PT
- Physical Therapist
- Los Osos, CA
National Provider Identifier
1922477751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 25012
- Practice address
- 1072 Los Osos Valley Rd
Los Osos, CA 93402-3237 - Phone
- (805) 528-2590
- NPI assigned
- Sep 23, 2015
- 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 Therapist | 225100000X | PT 25012 | CA | Primary |
Addresses
Primary practice location
1072 Los Osos Valley Rd
Los Osos, CA 93402-3237
Mailing address
1315 5TH St
Los Osos, CA 93402-1210
Phone (805) 528-5344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 Van Beurden Dr
Suite 103
Los Osos, CA 93402-3381
Phone (805) 528-2590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 25012 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruane Family Partnership | Physical Therapist | Current | Accepting new patients |
| Active Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Active Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Locations
1320 Van Beurden Dr
Ste 103
Los Osos, CA 93402
Phone (805) 242-1360
1072 Los Osos Valley Rd
Los Osos, CA 93402
Phone (805) 528-2590
Organizations & group practices 3
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.
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- NPI 1902978968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1922477751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 5TH ST",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934021210",
"telephone_number": "805-528-5344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 LOS OSOS VALLEY RD",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934023237",
"telephone_number": "805-528-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUANE",
"first_name": "MATTHEW",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-23",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 25012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Osos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.