Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Ellen Rucker, PT

Individual provider Physical Therapist · NPI 1912487398

Elizabeth Ellen Rucker, PT is a Physical Therapist in Private Practice in San Diego, California. Qualified in 1996, 30 years ago. Practices with Functionsmart, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5190 Governor Dr Ste 107
San Diego, CA 92122-2848
Phone: (858) 452-0282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 22445 (CA)

Record details

NPI number1912487398
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 15, 2018
Last updated in NPPESAugust 15, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Functionsmart — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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