Jon J Ruttenberg (NPI# 1790959658, PAC ID# 8527135524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1790959658 |
| PAC ID by PECOS | 8527135524 |
| Professional Enrollment ID | I20170406000085 |
| Full Name | Jon J Ruttenberg |
| Organization Legal Name | AERODREAM LLC |
| Address |
4001 Seven Mile Ln Pikesville MD 21208-6114 |
| Phone Number | 2405055544 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2567764376 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4801 Dorsey Hall Dr, Ellicott City, MD 21042-7749 | 4433933788 | LIFEBRIDGE MEDICAL ASSOCIATES LLC |
| 4801 Dorsey Hall Dr, Suite 201, Ellicott City, MD 21042-7749 | 4433933788 | LIFEBRIDGE MEDICAL ASSOCIATES LLC |
| 8400 Helgerman Ct, Gaithersburg, MD 20877-4131 | 2405055544 | BLUE ROOM PT INC. |
| 4001 Seven Mile Ln, Pikesville, MD 21208-6114 | 2405055544 | AERODREAM LLC |
| 4001 Seven Mile Ln, Seven Mile Lane Physical Therapy, Pikesville, MD 21208-6114 | 2405055544 | AERODREAM LLC |
| Organization Legal Name | AERODREAM LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn Spencer | Physical Therapy | Aerodream LLC | 11403 Cronhill Dr, Suite D, Owings Mills, MD 21117-6217 |
| Chaivut Vorachacreyanan | Physical Therapy | Aerodream LLC | 9135 Guilford Rd, Suite 100, Columbia, MD 21046-2579 |
| Tadek Osipowicz | Physical Therapy | Aerodream LLC | 8 Metropolitan Ct, Suite 4, Gaithersburg, MD 20878-4022 |
| Street Address |
4001 SEVEN MILE LN |
| City | PIKESVILLE |
| State | MD |
| Zip | 21208-6114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas F Krajewski | Psychiatry | 8909 Reisterstown Raod, Arden Courts Pikesville, Pikesville, MD 21208-1072 | |
| Helen L Cruz | Nurse Practitioner | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Sidney Nelson Iii | Internal Medicine | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Margianna Stotelmyer Toms | Nurse Practitioner | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Celian Valero Colon | Internal Medicine | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Margaret A Austin | Nurse Practitioner | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Adetimbo Adediran | Nurse Practitioner | Legacy Care LLC | 1840 Reisterstown Rd, Pikesville, MD 21208-1305 |
| Michelle R Mccarty | Occupational Therapy | Hands On Therapy, LLC | 11 Keller Rd, Pikesville, MD 21208-1308 |
| Candice L Diamond-krupitsky | Occupational Therapy | Hands On Therapy, LLC | 11 Keller Rd, Pikesville, MD 21208-1308 |
| Laura M Coffman | Occupational Therapy | Hands On Therapy, LLC | 11 Keller Rd, Pikesville, MD 21208-1308 |
| Find all physicians in zip 21208 | |||
| City | PIKESVILLE |
| Zip Code | 21208 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PIKESVILLE + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.