NPIMap

Organization Active NPI

Ruane Family Partnership

Doing business as Sunnyside Physical Therapy

  • Physical Therapist
  • Los Osos, CA
National Provider Identifier
1952771792
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RUANE FAMILY PARTNERSHIP
Doing business as
Sunnyside Physical Therapy
Practice address
1320 Van Beurden Dr #103
Los Osos, CA 93402-3381
Phone
(805) 528-2590
Fax
(805) 528-2590
NPI assigned
Oct 6, 2015
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Matthew Ruane, MPTNPI 1922477751
Title
General Partner
Phone
(805) 528-2590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X PT 25012 CA
Physical Therapy Clinic/Center 261QP2000X PT 25006 CA

Addresses

Primary practice location

1320 Van Beurden Dr #103
Los Osos, CA 93402-3381

Mailing address

1320 Van Beurden Dr #103
Los Osos, CA 93402-3381
Phone (805) 528-2590

Other names 1

  • Sunnyside Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160317000030 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547566580 Receives reassigned benefits from 3 practitioners
Practice locations: Los Osos, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1952771792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 VAN BEURDEN DR #103",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023381",
            "telephone_number": "805-528-2590",
            "fax_number": "805-528-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 VAN BEURDEN DR #103",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023381",
            "telephone_number": "805-528-2590",
            "fax_number": "805-528-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUANE FAMILY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "RUANE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "805-528-2590",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 25012",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 25006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyside Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunnyside Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.