NPIMap

Organization Active NPI

Ruud Vuijsters RPT Mt Practice of Pain Management Inc

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1992792790
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RUUD VUIJSTERS RPT MT PRACTICE OF PAIN MANAGEMENT INC
Practice address
218 Rue Beauregard
Ste. E
Lafayette, LA 70508-3284
Phone
(337) 264-6282
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Mr. Ruud Vuijsters, PTNPI 1528055316
Title
PT Owner
Phone
(337) 264-6282

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

218 Rue Beauregard
Ste. E
Lafayette, LA 70508-3284

Mailing address

218 Rue Beauregard
Ste. E
Lafayette, LA 70508-3284
Phone (337) 264-6282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050902000606 LA Part B Supplier - Clinic/Group Practice 2567494149 Receives reassigned benefits from 3 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

218 Rue Beauregard
Ste E
Lafayette, LA 70508
Phone (337) 264-6282

218 Rue Beauregard
Ste D
Lafayette, LA 70508
Phone (337) 264-6282

Practitioners & affiliated clinicians

Practitioners 5

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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1992792790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 RUE BEAUREGARD",
            "address_2": "STE. E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083284",
            "telephone_number": "337-264-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 RUE BEAUREGARD",
            "address_2": "STE. E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083284",
            "telephone_number": "337-264-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUUD VUIJSTERS RPT MT PRACTICE OF PAIN MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "VUIJSTERS",
        "authorized_official_first_name": "RUUD",
        "authorized_official_title_or_position": "PT OWNER",
        "authorized_official_telephone_number": "337-264-6282",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.