Individual provider Active NPI

Jason Ruta, MSPT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1952351017
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023664 Issued in NY
Practice address
1250 Waters Place
501
Bronx, NY 10461-2720
Phone
(718) 409-9444
Fax
(718) 409-0236
NPI assigned
May 11, 2006
Last updated
Jul 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 023664 NY Primary

Addresses

Primary practice location

1250 Waters Place
501
Bronx, NY 10461-2720

Mailing address

1250 Waters Place
501
Bronx, NY 10461-2720
Phone (718) 409-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130517000221 NJ Practitioner - Physical Therapist in Private Practice 4284637422 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parabolic Performance and Rehab, LLCGroup PAC ID 8022200278, 10 clinicians

Practice addresses (Care Compare)

1 Hall Dr
Little Falls, NJ 07424-2160
Phone (973) 509-9800

111 Midtown Bridge Approac
Hackensack, NJ 07601-7505
Phone (973) 744-2770

15 Bloomfield Ave
Montclair, NJ 07042-4888
Phone (973) 477-2770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023664NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Parabolic Performance & Rehabilitation Hackensack, LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Parabolic Performance & Rehabilitation Little Falls LLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Parabolic Performance & Rehab, LLC CurrentSince Jan 14, 2013 Accepting new patients

Locations

111 Midtown Brg Approac
Fl 2
Hackensack, NJ 07601
Phone (973) 744-2770

111 Midtown Bridge Approac
Hackensack, NJ 07601
Phone (973) 744-2770

1 Hall Dr
Little Falls, NJ 07424
Phone (973) 509-9800

15 Bloomfield Ave
Montclair, NJ 07042
Phone (973) 477-2770

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1952351017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WATERS PLACE",
            "address_2": "501",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "718-409-9444",
            "fax_number": "718-409-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PLACE",
            "address_2": "501",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "718-409-9444",
            "fax_number": "718-409-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTA",
        "first_name": "JASON",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.