Healthcare Provider Details

I. General information

NPI: 1659612588
Provider Name (Legal Business Name): ANGELA CATHARINE RUTHNICK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA CATHARINE RUTHNICK PT, DPT, OCS

II. Dates (important events)

Enumeration Date: 03/01/2013
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MUIR RD BLDG 6
MARTINEZ CA
94553-4614
US

IV. Provider business mailing address

3212 STANLEY CT
CONCORD CA
94519-2110
US

V. Phone/Fax

Practice location:
  • Phone: 925-372-1695
  • Fax:
Mailing address:
  • Phone: 925-586-4541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 39973
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: