National Provider Identifier
Jolene Anna Rugg, PT, DPT
Jolene Anna Rugg, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Mount Morris, NY and a listed phone number of (585) 658-4023.
Profile Overview
- NPI
- 1912533274
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- March 19, 2020
- Last Updated
- September 24, 2020
Practice Location
- 5871 Groveland Station RD
- Mount Morris, NY 14510-9767
Phone: (585) 658-4023
Mailing Address
- 4130 Hogmire RD
- Avon, NY 14414-9752
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1912533274
- Entity Type
- Individual
- Last Name
- Rugg
- First Name
- Jolene
- Middle Name
- Anna
- Credential
- PT, DPT
- Provider Other Last Name
- Barrett
- Provider Other First Name
- Jolene
- Provider Other Middle Name
- Anna
- Provider Other Credential Text
- PT, DPT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4130 Hogmire RD
- Mailing City
- Avon
- Mailing State
- NY
- Mailing ZIP Code
- 14414-9752
- Mailing Country
- US
- Practice Street Address
- 5871 Groveland Station RD
- Practice City
- Mount Morris
- Practice State
- NY
- Practice ZIP Code
- 14510-9767
- Practice Country
- US
- Practice Phone
- (585) 658-4023
- Enumeration Date
- March 19, 2020
- Last Updated
- September 24, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 24, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)