Active NPI
Jason Ruttan, COTA
- Occupational Therapy Assistant
- Orleans, MA
National Provider Identifier
1992120539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1120
- Practice address
- 17 Tar Kiln Rd
Orleans, MA 02653-4800 - Phone
- (508) 237-7961
- NPI assigned
- Feb 19, 2014
- 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 Therapy Assistant | 224Z00000X | 1120 | MA | Primary |
Addresses
Primary practice location
17 Tar Kiln Rd
Orleans, MA 02653-4800
Mailing address
17 Tar Kiln Rd
Orleans, MA 02653-4800
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 |
|---|---|---|---|
| 1120 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1992120539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 TAR KILN RD",
"city": "ORLEANS",
"state": "MA",
"postal_code": "026534800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 TAR KILN RD",
"city": "ORLEANS",
"state": "MA",
"postal_code": "026534800",
"telephone_number": "508-237-7961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTTAN",
"first_name": "JASON",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-19",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MA",
"license": "1120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orleans, MA
- Rock Harbor Health LLC (William M Velie MD Rock Harbor Health)
- Cindy Martha Rosenbaum, LICSW
- Marsha Ross, O.D.
- Edward M Ruscitti, D.C.
- Christina Russell, LICSW
- Santos Complete Home Care, LLC
- Tracey Ann Schear, LCSW
- William James Scheier, DDS
- Alexander Joseph Shannon-Eckhardt, PHARMD
- Robert Paul Singer, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.