George Ruddy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

051917 Issued in NY

Practice address

207 1/2 Lake St
Penn Yan, NY 14527-1802

Phone

(315) 536-4051

Fax

(315) 531-8577

NPI assigned

Feb 12, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vail Clinic, Inc.

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333
  NPD

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1932963881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 1/2 LAKE ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271802",
            "telephone_number": "315-536-4051",
            "fax_number": "315-531-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1/2 LAKE ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271802",
            "telephone_number": "315-536-4051",
            "fax_number": "315-531-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDY",
        "first_name": "GEORGE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann F Ritzler, RPH
• Robert D Knapp Independent at Home
• Caren Anne Roberts
• Karlee Roberts, LMSW
• Elizabeth Marie Rogers, R.N.
• Tabitha Rushmore
• Suzanne Marie Russo, RN
• Joy Elaine Schank, RN, MSN, ANP, CWOCN
• Megan Colleen Schewe, OTR/L
• Samantha Sciolino

• Physical Therapist in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.