Ruth S Waller LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RUTH S WALLER LLC

Practice address

4927 Eastridge Dr
Fort Collins, CO 80526-4641

Phone

(337) 263-3795

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ruth Waller, PT, DPTNPI 1831523984

Title

President/Physical Therapist

Phone

(337) 263-3795

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Stephanie Waller, P.T.

  • Physical Therapist
  • Boulder, CO
  • NPI 1831523984
  NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1982470316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 EASTRIDGE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805264641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 EASTRIDGE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805264641",
            "telephone_number": "337-263-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH S WALLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "337-263-3795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Russell, MA, LPCC
• Natasha Russell
• Savannah Russell, L.AC.
• Rustic River Counseling Services PLLC
• Jennifer Main Rutberg, MD
• Austyn Rutherford
• Mary B Rutherford, LCSW
• Susan M Rutherford, PT
• Christa Ann Rutledge, FNP-C
• Christine Renee Rutledge

• Physical Therapy Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.