Active NPI
Luciano Enrique Ruiz, OT
- Occupational Therapist
- New York, NY
National Provider Identifier
1962736272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005773
- Practice address
- 5 E 102ND St FL 1
New York, NY 10029-5204 - Phone
- (212) 824-7033
- NPI assigned
- Sep 21, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 005773 | NY | Primary |
Addresses
Primary practice location
5 E 102ND St FL 1
New York, NY 10029-5204
Mailing address
101 Wyckoff Ave Apt 1B
Brooklyn, NY 11237-3352
Phone (718) 407-0872
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005773 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1962736272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WYCKOFF AVE APT 1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112373352",
"telephone_number": "718-407-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 102ND ST FL 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100295204",
"telephone_number": "212-824-7033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "LUCIANO",
"middle_name": "ENRIQUE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-21",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "005773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.