SARA RUCKENBROD (NPI# 1356774970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356774970 |
Entity Type | Individual |
Full Name | SARA RUCKENBROD |
Credential | DPT |
Practice Address |
3801 Main Dr Ste B Fayetteville AR 72704-6364 |
Practice Telephone | 4798566400 |
Practice Fax Number | 4798566623 |
Mailing Telephone | 4798566400 |
Mailing Fax Number | 4798566623 |
Enumeration Date | 2013-08-19 |
Last Update Date | 2015-07-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
3719 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3801 MAIN DR STE B |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72704-6364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336490721 | Jessica Carney | Speech-Language Pathologist | 3801 Main Dr Ste B, Fayetteville, AR 72704-6364 | 2012-09-25 |
1275966731 | Holly Jackson | Physical Therapist | 3801 Main Dr Ste B, Fayetteville, AR 72704-6364 | 2013-08-19 |
1740627975 | Lucy Ozanne | Speech-Language Pathologist | 3801 Main Dr Ste B, Fayetteville, AR 72704-6364 | 2013-05-29 |
1780029850 | Stacey Lynn Mcspadden | Occupational Therapy Assistant | 3801 Main Dr Ste B, Fayetteville, AR 72704-6364 | 2013-05-02 |
1205271426 | Leah Lingo | Occupational Therapy Assistant | 3801 Main Dr Ste B, Fayetteville, AR 72704-6364 | 2013-05-01 |
1235470667 | Nicole Diaz | Occupational Therapy Assistant | 3801 Main Dr Ste B, Fayetteville, AR 72704-6364 | 2013-03-11 |
1861732489 | Mary Katelyn Chop | Occupational Therapy Assistant | 3801 Main Dr Ste B, Fayetteville, AR 72704-6364 | 2013-02-19 |
1104165307 | Thera-play Pediatric Services | Physical Therapist | 3801 Main Dr Ste B, Fayetteville, AR 72704-6364 | 2013-02-07 |
1902150295 | Lukas Brettin | Physical Therapy Assistant | 3801 Main Dr Ste B, Fayetteville, AR 72704-6364 | 2012-11-08 |
1598019614 | Kelsey Ratcliff | Occupational Therapy Assistant | 3801 Main Dr Ste B, Fayetteville, AR 72704-6364 | 2012-10-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
1427607019 | Destiny Bound, LLC | Midwife | 3825 N Salem Road, Fayetteville, AR 72704 | 2019-09-06 |
1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
1861823502 | Andrea Warren | Pharmacist | 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 | 2013-12-05 |
1609157726 | Jessica Rose Collier | Speech-Language Pathologist | 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 | 2011-09-02 |
1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
1841512944 | Jill K Johnston | Speech-Language Pathologist | 3472 N Sandpiper Dr, Fayetteville, AR 72704 | 2010-02-17 |
Find all providers in zip 72704 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780069476 | Edith Areli Molina Amaya | Physical Therapist | 2819 W Hillshire Dr, Fayetteville, AR 72704-5137 | 2015-07-23 |
1306104773 | Cheryl F. Borden | Physical Therapist | 4216 Bartlet Glen Ln, Fayetteville, NC 28306-9357 | 2012-04-24 |
1730470998 | Stefanie Hines Schumacher | Physical Therapist | 48 Colt Square, Fayetteville, AR 72703-2813 | 2011-04-22 |
1578702676 | Marla Cohen | Physical Therapist | 5201 Hoag Ln, Fayetteville, NY 13066-2508 | 2009-02-12 |
1245491224 | The Therapy Spot,llc | Physical Therapist | 3130 Market St., Fayetteville, AR 72703-7519 | 2008-06-22 |
1376717249 | Tammy Lee Heino | Physical Therapist | 6836 Holliston Cir, Fayetteville, NY 13066-1700 | 2008-04-22 |
1730375650 | Christie Summerford | Physical Therapist | 2474 E. Joyce Blvd, Suite 2, Fayetteville, AR 72703 | 2007-09-25 |
1528031275 | Shanna Scott Thurman | Physical Therapist | 5310 Yadkin Rd, Fayetteville, NC 28303-3255 | 2006-02-10 |
1902454507 | Southeastern Motor and Sensory Specialists | Physical Therapist | 3530 Boone Trl, Fayetteville, NC 28306-2189 | 2019-08-28 |
1609301811 | Erin Elaine Calvelage | Physical Therapist | 3801 Johnson Mill Blvd, Fayetteville, AR 72704-5297 | 2017-04-25 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 72704 |
Please comment or provide details below to improve the information on SARA RUCKENBROD.
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.