MRS. ERICKA RUCK (NPI# 1073968558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073968558 |
| Entity Type | Individual |
| Full Name | MRS. ERICKA RUCK |
| Credential | CTRS, CBIS |
| Practice Address |
2301 N Lake Dr Milwaukee WI 53211-4508 |
| Mailing Address |
1278 Mink Ranch Rd Port Washington WI 53074-9783 |
| Practice Telephone | 4145856750 |
| Mailing Telephone | 2623659193 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2301 N LAKE DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659362101 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2005-11-03 |
| 1063023521 | Elizabeth Jaruseski | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-10 |
| 1649880808 | Margaret Anne Germanotta | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-03 |
| 1508476870 | Kristin Rebecca Kuester | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-03 |
| 1104440882 | Megan Nicole Zainer | Student in an Organized Health Care Education/Training Program | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-05-29 |
| 1366078404 | Lauren C Johnson | Occupational Therapist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-03-20 |
| 1093340986 | Ihc-observation Care LLC | Emergency Medicine | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-03-11 |
| 1992338446 | Ashley Kenney | Physician Assistant | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-02-12 |
| 1457982985 | Ava Engberg | Physical Therapist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-02-03 |
| 1295376937 | Kimberly Anne Tuggle | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2019-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899390 | Erinn Kulba | Recreation Therapist | 5000 W National Ave Ofc 103, Milwaukee, WI 53295-0001 | 2020-10-25 |
| 1356942445 | John F Rose | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-04 |
| 1306447487 | Alan Newell Hoenk | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-04 |
| 1720687221 | Courtney Zeller | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-26 |
| 1053869594 | Ann Freigang | Recreation Therapist | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2016-09-13 |
| 1730426131 | Sara Lynn Kucik | Recreation Therapist | 5000 W National Ave, Room 103, Milwaukee, WI 53295-0001 | 2013-01-07 |
| 1962749341 | Joyce Ellen Casey | Recreation Therapist | 5000 W National Ave, Spinal Cord Inury Unit Building 144 Room 103, Milwaukee, WI 53295-0001 | 2013-01-06 |
| 1659395762 | David M. Voss | Recreation Therapist | 2025 E Newport Ave, Milwaukee, WI 53211-2906 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027318 | Kimberly A Sievers | Recreation Therapist | 10198 Brookside Rd, Auburndale, WI 54412-9636 | 2020-06-11 |
| 1639727639 | Heartland Farm Sanctuary, LLC | Recreation Therapist | 11713 Mid Town Rd, Verona, WI 53593-9011 | 2019-09-03 |
| 1952968000 | Krysten Hoy | Recreation Therapist | 1315 Lime Kiln Rd, Green Bay, WI 54311-6043 | 2019-05-23 |
| 1831669589 | Brittany Kelly | Recreation Therapist | 500 E Veterans St # 11k22, Tomah, WI 54660-3105 | 2018-11-26 |
| 1437547494 | Douglas Seubert | Recreation Therapist | 1111 N Chestnut Ave, Marshfield, WI 54449-1402 | 2014-12-29 |
| 1073539649 | Cresta Elizabeth Nutter | Recreation Therapist | W274 Hillendale Dr, Oconomowoc, WI 53066-5528 | 2006-07-15 |
| 1306885603 | Barbara Lynne Redding | Recreation Therapist | 201 Luisita Rd, Thiensville, WI 53092-1729 | 2006-06-05 |
| 1578519336 | Mindy Shafer Weigel | Recreation Therapist | 560 Pathway Clinic, Prairie Du Sac, WI 53583 | 2006-05-25 |
| 1215534607 | Kari Leigh Ebert | Recreation Therapist | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-10-08 |
| 1801493325 | Haley Evelyn Sidie | Recreation Therapist | 500 E Veterans St, Tomah, WI 54660-3105 | 2020-10-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.