Active NPI
John Ruiz, OTR/L
- Occupational Therapist
- Woodside, NY
National Provider Identifier
1952997934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024911
- Practice address
- 4008 59TH St Apt 3F
Woodside, NY 11377-4855 - Phone
- (347) 458-0647
- NPI assigned
- Dec 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 024911 | NY | Primary |
Addresses
Primary practice location
4008 59TH St Apt 3F
Woodside, NY 11377-4855
Mailing address
304 E 62ND St Apt 10
New York, NY 10065-8244
Phone (347) 458-0647
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024911 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1952997934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E 62ND ST APT 10",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658244",
"telephone_number": "347-458-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 59TH ST APT 3F",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774855",
"telephone_number": "347-458-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.