1174785612 NPI number — DR. JOHN RUFF MAY PT, DPT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174785612 NPI number — DR. JOHN RUFF MAY PT, DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MAY
Provider First Name:
JOHN
Provider Middle Name:
RUFF
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PT, DPT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174785612
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/20/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4824 S YANK WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORRISON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80465-1642
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-218-1019
Provider Business Mailing Address Fax Number:
303-674-9870

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30940 STAGECOACH BLVD
Provider Second Line Business Practice Location Address:
E-110
Provider Business Practice Location Address City Name:
EVERGREEN
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80439-7984
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-674-1594
Provider Business Practice Location Address Fax Number:
303-674-9870
Provider Enumeration Date:
06/26/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  10023 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)