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NPI Code Detail

MEDICARE: DR. MATTHEW JAMES DE RUIG P.T.

MEDICARE:  DR. MATTHEW JAMES DE RUIG  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5809SC

General Provider Information

NPI Number : 1396871406
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW JAMES DE RUIG P.T.
Provider Business Mailing Address
First Line : 225 S PLEASANTBURG DR STE B3
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-2533
Country : US
Telephone Number : 864-622-6098
Fax Number : 864-412-8896
Provider Business Practice Location Address
First Line : 535 W BUTLER RD STE A
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-4833
Country : US
Telephone Number : 864-277-2747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2007
Last Update Date : 04/06/2026

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Directions to “ DR. MATTHEW JAMES DE RUIG P.T.” Practice Location

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